Get Glades Middle School

Glades Middle School Cougar Path Enrollment Application To submit an application 1. Complete all information and sign and date in the space provided at the bottom of application. 2. Mail or hand deliver to 16700 SW 48th Court Miramar FL 33029 3. Remember that all materials including copy of current report card most recent FCAT Scores and three recommendations must be received before the application is considered complete. The enrollment period runs from April 1 May 1st. All application materials must be to the school by May 1st. Student Information Student Name Last First M. I. Date of Birth Student Number Gender Male Female For which grade level are you applying 6th 7th 8th If applying for 6th grade what Elementary School did you attend What if any school clubs are you a part of If none please write none. Have you volunteered with any organizations If yes please describe what volunteer work you have done. Parent/Guardian Information Contact Name Dr. Ms. Mrs. Mr. Relationship to applicant Home Phone Cell phone Work phone Home address Street Apt City Zip By signing below I certify that all information contained herein is true and accurate. I understand that providing false information may result in the denial of attending the program* I give my consent for my child to participate in the Glades Middle Science Technology Engineering and Math Program* Signature of Parent/Legal Guardian Date Office Use Only FCAT Reading FCAT Math FCAT Science Current GPA. Mail or hand deliver to 16700 SW 48th Court Miramar FL 33029 3. Remember that all materials including copy of current report card most recent FCAT Scores and three recommendations must be received before the application is considered complete. The enrollment period runs from April 1 May 1st. All application materials must be to the school by May 1st. The enrollment period runs from April 1 May 1st. All application materials must be to the school by May 1st. Student Information Student Name Last First M. I. Date of Birth Student Number Gender Male Female For which grade level are you applying 6th 7th 8th If applying for 6th grade what Elementary School did you attend What if any school clubs are you a part of If none please write none. Student Information Student Name Last First M. I. Date of Birth Student Number Gender Male Female For which grade level are you applying 6th 7th 8th If applying for 6th grade what Elementary School did you attend What if any school clubs are you a part of If none please write none. Have you volunteered with any organizations If yes please describe what volunteer work you have done. Have you volunteered with any organizations If yes please describe what volunteer work you have done. Parent/Guardian Information Contact Name Dr. Ms. Mrs. Mr. Relationship to applicant Home Phone Cell phone Work phone Home address Street Apt City Zip By signing below I certify that all information contained herein is true and accurate. Parent/Guardian Information Contact Name Dr. Ms. Mrs. Mr. Relationship to applicant Home Phone Cell phone Work phone Home address Street Apt City Zip By signing below I certify that all information contained herein is true and accurate. I understand that providing false information may result in the denial of attending the program* I give my consent for my child to participate in the Glades Middle Science Technology Engineering and Math Program* Signature of Parent/Legal Guardian Date Office Use Only FCAT Reading FCAT Math FCAT Science Current GPA.