Student:


______Student Application______ Steps to College
College & Test Prep Camp Dalton State College June 8-19, 2009

Student:_____________________________	School:____________________________________
Age:_____ Sex: _____	Grade finished: 8 9 10 11 12
On the Graduation Test, I have passed ( ) Math ( ) Science ( ) Social Studies ( ) Writing ( ) English	Usual grades: A B C D F Career Major: _______________________________
Street Address: _______________________ Nearest public building: _________________	Father: ____________________________________ Mother:____________________________________
City:________________________________	Home Phone:_______________________________
Zip code: _________	Cell Phone:_________________________________
Email: ______________________________	Myspace: __________________________________

Firma de Padre o Madre:_________________	Fecha:_____________________
Firma de Estudiante:____________________	Fecha:_____________________
Signature of Teacher:___________________	Date:______________________

Our students score 14% higher on the high school Graduation Test than other bilingual students. They also achieve 12% higher on the ACT college exam. Classes and activities are 8 am-noon June 8-July 19. Bilingual students entering grades 9-12 in Dalton, Whitfield and Murray must have a contact teacher sign their student application. We prepare students for college with free classes in college rooms and labs, guided tours of the Dalton State campus, talks with college students and professors, CRCT, EOCT, and Graduation Test books, COMPASS admissions practice exams.

Teachers: Please mail or deliver this form to Dr. Monte Salyer, 650 College Dr, Dalton State College, Dalton, GA 30720.