Name (Last, First) Student’s Which language? French German Spanish OR FORM PRINCIPAL’S HEADMASTER’S name: Student’s or name: Principal’s headmaster’s School name: or Principal’s headmaster’s e-mail: actual or estimated rank in class: Applicant’s top 2% top 4% top 6% top 10% below top 10% Attach a legible transcript of the high school record. applicant’s IMPORTANT! Attach a copy of the Individualized Education Program (IEP) to verify any needed accommodations, if appropriate. List the names and positions of local school selection committee members, if there was one. If no local selection committee was formed, write “none.” Do you have any comments about this strengths and weaknesses that you think would be student’s helpful to the selection committee in evaluating his/her application? Certification Statement I hereby certify that is qualified and is genuinely interested in attending the Governor’s Foreign Language Immersion Academy. I thereby recommend this applicant for consideration as a participant in the Academy. ___________ ________________________________________________________________ Date Signature of Principal/Headmaster or Designee _________________________________ Printed Name and Title
Student’s Name (Last, First) Which language? French German Spanish PRINCIPAL’S OR HEADMASTER’S FORM Student’s name: Principal’s or headmaster’s name: School name: Principal’s or headmaster’s e-mail: Applicant’s actual or estimated rank in class: top 2% top 4% top 6% top 10% below top 10% Attach a legible transcript of the applicant’s high school record. IMPORTANT! Attach a copy of the Individualized Education Program (IEP) to verify any needed accommodations, if appropriate. List the names and positions of local school selection committee members, if there was one. If no local selection committee was formed, write “none.” Do you have any comments about this student’s strengths and weaknesses that you think would be helpful to the selection committee in evaluating his/her application? Certification Statement I hereby certify that is qualified and is genuinely interested in attending the Governor’s Foreign Language Immersion Academy. I thereby recommend this applicant for consideration as a participant in the Academy. ___________ ________________________________________________________________ Date Signature of Principal/Headmaster or Designee _________________________________ Printed Name and Title
French-German-Spanish-Application.docx