Requirements and Application Check List for Grade 2-6 Applicants

Requirements and Application Check List for Grade 2-6 Applicants

STEP I: The Application

Submit a completed application online or download a copy from www.sacredhearts.org or contact theAdmissions Office at 808-734-5058, ext. 224, for an admissions packet.

Enclose non-refundable application fee of $50, payable to Sacred Hearts Academy.* (online applicantspay via credit card or can opt to be invoiced).

STEP II: Academic Records

Submit a copy of the applicant’s report card for the past academic year.*

Submit a copy of the applicant’s report card for the current school year.*

STEP III: Supporting DocumentationSubmit a copy of birth certificate (upon enrollment).*

Sign and submit the Consent for Release of Transcript Copy (page 2 of this document) to the Principal’sOffice at the applicant’s current school.

Sign and submit the Parent Permission for Information Release (page 3 of this document) to two of theapplicant’s current teachers and request that they complete the Common Teacher Reference Report.(Provide a stamped envelope with the address below for the teacher to submit directly.)

STEP IV: TestingCompletion of admission testing as scheduled by the Director of Admissions.

STEP V: Interview and/or Activity SessionCompletion of an activity session as scheduled by the Director of Admissions.

* Forms should be mailed to:Sacred Hearts AcademyAdmissions Office3253 Waialae AvenueHonolulu, HI 96816

Sacred Hearts Academy3253 Waialae Avenue ● Honolulu, Hawaii 96816 ● 808-734-5058 ● Fax 737-7867 ● www.sacredhearts.org

Consent for Release of Transcript Copy(Complete release form and submit to Principal’s Office at the school the applicantis currently attending)

This is to certify that

Applicant Last Name First Name MI

has submitted an application for enrollment to Sacred Hearts Academy.

I, hereby, give my permission for an official reproduction of education records for

the student listed above to be sent to:

Sacred Hearts AcademyAdmissions Office

3253 Waialae AvenueHonolulu, HI 96816

Parent/Guardian Last Name First Name

Street Address

City State Zip

Phone

Signature of Parent/Guardian Date


Parent Permission For Information Release(Complete release form and give release, instructions, Teacher Reference Reportand a stamped envelope – addressed to Sacred Hearts Academy – to currentteacher)

I, hereby, give my permission to release the information indicated on the Teacher

Reference Report regarding my child,

for the purpose of admission to Sacred Hearts Academy.

Signature of Parent/Guardian Date


Teacher Instructions for Completing the Teacher Reference Report

This student is an applicant for admission to Sacred Hearts Academy. We regardyour professional evaluation of this child as part of the criteria used in consider-ing her application and ask you to please complete the Teacher Reference Report.

Any information you supply will be kept confidential.

Please return the completed Teacher Reference Report in the stamped, addressedenvelope (provided by the child’s parents/guardian) directly to Sacred HeartsAcademy.

Betty WhiteHead of School

HAWAII ASSOCIATION OF INDEPENDENT SCHOOLS Common Teacher Reference Report – Grades 2-12 (Please return completed form after December 1.)

PARENTS: Please read and sign the following release statement: I understand the information on the Teacher Reference Report is confidential and will not be shared beyond the Admission Committee. ___________________________________ _____________ Parent or Guardian Date

TEACHER: Thank you for completing this Teacher Reference Report. Your assessment of the applicant is a valuable, necessary component of a good admissions decision. Please add any information which may add to our knowledge of the applicant. This report does NOT become part of the student’s permanent file.

Applicant’s Name________________________________________________________________ GradeApplying________ Last First Middle

Class Level: Accelerated ________ High ________ Average _________ Low ________ Heterogeneous ___________

Subject and/or Grade ___________________________________________________ Self-contained □ Yes □ No

Please check ( √ ) the appropriate rating. N/A (not applicable) may be used in areas where there is insufficient information. Academic Qualities

Motivation (effort, drive) • • rare moderate maximumAbility to work alone • • needs help frequently needs help occasionally works wellHomestudy habits • • never completes assignments completes assignments does more than expectedParticipation in discussion • • contributes when called on volunteers occasionally joins in readilyAbility to express ideas orally • • has some difficulty good exceptionally goodUse of time • • poor average excellentOrganization of work • • poor average excellentFollows direction • • needs much explanation needs occasional help responds quickly

Personal Qualities

Leadership potential • • a follower occasionally seeks opportunities natural leaderClassroom conduct • • poor average excellentCooperates with adults • • rarely usually alwaysPersonal/social adjustment • • relates poorly

with othersfluctuating relationships with peers; generally happy person

healthy self image; healthy peer relationships

Ability to work in a group • • rarely usually alwaysConsideration of others • • rarely usually alwaysTakes initiative • • rarely usually alwaysFulfills responsibilities • • rarely usually alwaysUses suggestions or corrections • • rarely usually always

We appreciate additional observations about this applicant.

Print or Type Name______________________________________ Teacher's Signature___________________________ School_________________________________________ School Phone #____________________ Date ______________

All HAIS schools accept this common form.

Information on After School Care(for students in Grades Junior Kindergarten to Six)

Sacred Hearts Academy offers an After School Care (ASC) Program for students ingrades Junior Kindergarten (JK) to six. In the ASC, there is an adult monitor and anAcademy student assistant for every 12 students in Junior Kindergarten, every 16students in Senior Kindergarten and every 20 students in grades one to six.

HOURS:n 2:15 to 6 p.m. on Monday, Tuesday, Thursday and Fridayn 1 to 6 p.m. on Wednesday.

Students in grades JK to three are dropped off in the Student Center by their teach-ers to be checked into ASC; students in grades four to six will proceed to theStudent Center after their classes at 2:30 p.m.

PROGRAM:Activities in After School Care include homework supervision, silent reading, arts andcrafts, quiet games, enrichment activities, outdoor games, free play, unstructuredtime, rest, and occasionally, a movie or a documentary.

SNACKS:A nutritious snack will be served between 3 and 3:30 p.m. The cost is included inthe ASC fees.

PICK-UP:Parents need to sign their daughter(s) out when they pick them up from ASC. A dri-ver’s license or state identification must be shown during pick-up, and children willonly be released to those authorized to do so.

LATE PICK-UP:For any late pick-up, an additional charge of $5 per quarter of an hour or a fractionthereof will be charged. The late fee can be paid in cash or checks when the stu-dent(s) are picked up.

FEES:The fee for ASC for the 2012 to 2013 school year is $1,700.


Documents

Requirements and Application Check List for Grade 2-6 Applicants