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Application to be a Walden Student
The following Walden III Middle / High School Application Highlights our Mission, Beliefs and Philosophy
 

Walden III is founded on the belief that you should be a part of the decisions which affect them in school. Walden III students demonstrate high levels of responsibility, self-direction, initiative, and cooperation. Each student is expected to contribute toward making Walden III a more friendly, positive, learning environment. The Walden III campus is open, meaning there is freedom for students to move about the school and the neighborhood. Students here take part in Homegroup events off campus, and are involved in nontraditional course offerings. We are smaller than other schools that offer more choices curricularly, and we have unique requirements.
 

Walden III's commitment to nonviolence is a tradition that has been an integral part of its philosophy since the school's inception in 1972. We expect students to solve problems amicably. Our NO FIGHT policy means that no one may use physical violence against another. Any student violating this segment, or any other segment of the Racine Unified School District Code of Student Responsibilities and Rights, Section IV, Student Responsibility, may be removed from Walden III to return to their home school at a minimum, suspension and expulsion procedures may also result due to the seriousness of the infraction. The administration and staff at Walden III may determine that the student can reapply at a later date. Additionally a student at Walden can not demonstrate truancy/tardiness or academic failure over the course of a quarter and remain a Walden student.
 
If you agree to demonstrate responsibility for your actions, the ability to work with others, completion of tasks assigned to you, care and concern for others, dedication to academic challenges, as well as adherence to the provisions descried in the above, fill out this application completely. By signing the application, you and your parent or guardian are affirming agreement to these standards.
 
Personal Information:

Name: ________________________________________________________ Student # _____________

Address: __________________________________ Racine, WI 5340__ Phone:____________________

Age: ___ Date of Birth: __ / __ / ___ Male ___ Female ___ Af.Am. _ Native Am. __ Hispanic __ White __

Present School: _________________________________ Present Grade: _____ # of credits earned ____

Parent Information

Name of Father or Legal Guardian: _____________________________________________


Place of Employment: ________________________________ Work Phone: _____________

Name of Mother or Legal Guardian: ______________________________________________

Place of Employment: __________________________________ Work Phone: __________
Student lives with: father, mother, guardian, both parents (circle one)

Special Services

Do you now or have you previously received any of the following support services?
If 'yes', please explain.

Special Education: __________________________________________________

Section 504; _______________________________________________________

Standards / Chapter 1 _______________________________________________

ESL / Bilingual ____________________________________________________

Other: _____________________________________________________________

This information provided on this application is current and accurate to the best of my knowledge.

 

_________________________

Parent or Guardian Signature

________________________

Student Signature

________________________

Date
Parent and student signatures indicate your acceptance of the rules stated above.

 

This information provided on this application is current and accurate to the best of my knowledge.

- - - - - - - - - - - - - - Application to be a Walden student, part two - - - - - - - - - - - - - -

The following to be completed by student:

Student: Please answer the following questions completely, in your own handwriting.

1. Why do you want to attend Walden?

 

 

2. What special skills do you have? (hobbies, music, sports, etc.)

 

3. Areas of special interest. Check the following areas of your interest and describe each briefly in the space at the right.

___ arts/crafts

___performing arts

___computers

___games

___sports

___community orservice organizations

___other

4. What groups or organizations have you been a part of?

 

5. What subjects do you enjoy most in school?

 

6. References: please provide name and location or phone number of each person you list below

Teacher:_________________________________________________________

Counselor: __________________________________________

Student signature: ____________________________________Date:

Parent and student signatures indicate your acceptance of the rules stated above.

 

Print this form and mail to:

Walden III Middle / High School
1012 Center Street
Racine, WI 53403

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