REVISED STUDENT APPLICATION - Holden High School

Holden High School Application

Please allow approximately 1 hour to complete this application. The application system does NOT allow you to save your work and continue at a later time. Pro tip: gather your student, your student’s transcripts, most recent report card, a writing sample, and current IEP or 504 plan (if applicable) before beginning. *If time does not permit you to complete the application in one sitting, please email additional documents and/or answers to kristinl@holdenhigh.org

Holden is an open and affirming school. Holden provides a student-centered educational experience that embraces diversity and nurtures students’ unique gifts and talents. We do not discriminate based on race, gender, gender identity, gender expression, age, sexual orientation, disability, religion, sexual orientation, national origin, ethnicity, or wardrobe.

Today's date

What school year are you applying for?

Student's Name

Student's pronouns

Street Address

City/State/Zip

Student's date of birth

Current school

Current grade level

Student lives with:

Program applying for:

If you are applying for the academic option, select which class you are interested in:

IEP?

504 Plan?

Does your student have other learning or psychological assessments?

Parent or legal guardian's Name

Parent or legal guardian's email

Street address

City/State/Zip Code

Occupation

Employer

Daytime phone number

Parent or legal guardian's Name

Parent or legal guardian's email address

Street address

City/State/Zip Code

Occupation

Employer

Daytime phone number

How did you hear about Holden High School?

Why are you interested in attending Holden?

Briefly describe your teen:

Describe your teen's academic strengths and challenges:

Describe your teen's social/emotional strengths and challenges:

Describe your teen's creative strengths and challenges:

What interests does your teen have? Do they participate in any after-school activities?

What are your teens responsibilities at home?

Are there any learning or health issues that Holden should be aware of?

What educational (classroom or assignment-based) accommodations have been helpful for your teen?

If your teen has received or is receiving therapy, please explain the reason for this: (Additional paperwork may be required.)

Does your teen have a history of violence in or out of school?

If yes, please explain the circumstances

Has your teen ever received severe disciplinary censure at school or from the community?

If yes, please explain the circumstances

Please upload your students transcripts:

Please upload your students IEP or 504 Plan learning assessments (if applicable)

Please upload your students most recent report card:

Please upload a student writing sample from the current school year. (i.e. an essay, or research paper.) Note: If applying for the Elective Class Option Program, no writing sample needed.

The next section is for your student to complete

Student's name

Why are you interested in applying to Holden?

Please briefly describe Holden High School from what you have learned from the tours/website

Describe one thing you are good at and one thing that is hard for you academically.

Describe one thing you are good at and one thing that is hard for you socially/personally.

Describe one thing you are good at and one thing that is hard for you creatively.

What do you do for fun? What kinds of things interest you?

Describe something happening in the world or in your community that interests or concerns you. Why does this interest or concern you?

What personal qualities would you bring to our school community?

What are two goals you would like to accomplish this school year (academic, social, personal and/or creative)?

Acknowledgement

After you press submit, this form will take approximately 5 minutes to process. Please DO NOT navigate away from this page until you receive the on screen confirmation message.