JEFFERSON COUNTY BOARD OF EDUCATION

TECHNICAL ACADEMIES PROGRAM APPLICATION

NAME _________________ PREFERRED NAME OR NICKNAME __________________

SOCIAL SECURITY NUMBER ___________________________ (required for registration)

DATE OF BIRTH _________________ HOME TELEPHONE NUMBER ______________

ADDRESS _________________________________________________________________

CITY _______________________________________ ZIP CODE_____________________

PRESENT SCHOOL _________________________________________________________

PARENTS’ NAME __________________________________________________________

PARENTS’ WORK TELEPHONE: ________________ / _______________ /____________

                                                                  FATHER                MOTHER                CELL

I understand that the technical academies are four-year programs of study except for the apprenticeships.  They include composition and literature, mathematics, science, social studies and foreign language.  I also understand that I must complete the state requirements in physical education, computer literacy, fine arts and health.  Admission to an academy program for diploma or certificate depends upon meeting admission requirements outlined for each program. Students must successfully complete the course sequence and participate in required activities.

I understand that students at the Jefferson County Technical Academies are expected to maintain above average conduct and an academic grade point average of 2.0.  If I fail to meet these expectations, I may be dismissed from the program.

To be eligible for consideration, I must meet the following requirements:

1. Have a 2.0 academic GPA for the last two available semesters.  A copy of my permanent record card and test scores must be included with this application.

2. Have met special requirements for the chosen academy program; e.g. visual arts portfolio assessment, theatre audition, math/science teacher recommendation, counselor recommendation, etc.

3. Submit a handwritten essay, which should be a personal essay explaining why you want to attend the Jefferson County Technical Academy explaining why I am interested in being an academy student as well as previous accomplishments and goals for the future in my chosen area of study.

_______________________________________    Student’s Signature

_______________________________________    Parent’s Signature

Faxed Applications Are Not Accepted.

 

 Please check the box of the Academy you are applying for:    

National Academy of Finance                                                              [    ]
Melinda DiBenedetto
Phone: 205-379-5350 EXT 252
E-mail:  mdibenedetto@jefcoed.com

Pre-Engineering and Computer Technology Academy                            [    ]
John Hollis
Phone:  205-379-3300

Theatre Academy                                                                                [    ]
Roy Hudson and Janice Sanders
Phone:  205-379-5350 EXT 257

The Visual Arts and Communication Academy                          [    ]
Rick Moncrief and Olsen Ross
Phone: 205-379-3300
Email:  rickmoncrief@hotmail.com
mail@olsenross.com

BE&K School of Industrial Construction                                               [    ]
(11th - 12th Grade)
William White - Electrical
Shane Snead – Welding
Phone:  205-379-3300

The Finance and TheatreAcademies are located on the Shade Valley High School Campus
6100 Old Leeds Road - Birmingham, AL 35210

The Pre-Engineering, Visual Arts, and BE&K Academies are located on the

Shades Valley Technical Academies Campus

5191 Pine Whispers Drive - Birmingham, AL 35210

These programs are coordinated by JefCoEd Instructional Services

Department of Arts Education

Dr. Mary Ann Culotta, Director - 379-2025

and

Department of Career Technical Education

Beverly Lavender, Director - 379-2171

The Jefferson County Board of Education does not discriminate on the basis of race, color, disability, sex, religion, national origin or age in programs, activities, or employment. Questions, comments, or complaints regarding compliance and/or Title IX issues should be directed to: Margaret Z. Beard, Director -- Compliance/ Minority Affairs

Jefferson County Board of Education
2100 18th Street, South -- Birmingham, Alabama 35209
379-2120                 379-2000

Questions, comments, or complaints regarding compliance with requirements under Section 504 concerning students with disabilities
should be directed to: Dawna Hill, Supervisor -- Homebound/504 Services
Jefferson County Board of Education
2100 l8th Street, South -- BirminghamAlabama35209
379-2213                 379-2000