Madison Central High School
2022 Engineering Academy Application - v2
Basic and Contact Information
1.
First Name
*
2.
Last Name
*
3.
Gender:
--None--
Male
Female
4.
Grade Level completed as of May 2022
*
--Please Select--
8th
9th
10th
11th
5.
School Attended in 2021 - 2022
*
Select at least 1 and no more than 3.
Madison Middle
Rosa Scott
Madison Central
Home School
Virtual Learning through Madison County Schools
Other, please specify
6.
Enter your school student email address (i.e. #####@students.madison-schoools.com)
NOTE: Please proofread your response and leave this blank if you are NOT currently a student in Madison County Schools.
7.
Enter one of your parents'(or guardian's) Full Name
8.
Enter an active email address of one of your parent's(or guardian).
Please make sure you have entered an email that is checked regularly.
9.
Enter parent(or guardian) preferred contact methods.
*
Select at least 1 and no more than 2.
Parent or Guardian Email - entered in application
Parent or Guardian Phone# (Enter # in text box)
10.
Enter the career you are currently interested in:
11.
Technology Courses taken prior to and in 2021 - 2022 School Year
*
Click All that Apply
Select at least 1 and no more than 6.
STEM
ICT I
ICT II
Graphic Design
Engineering at MCTC
Other, please specify
12.
Math Course taken in 2021 - 2022 School Year
*
Select at least 1 and no more than 3.
Comprehensive Math
Algebra I
Geometry
Algebra II
Adv Math Plus
Other, please specify
13.
English class taken in 2021 - 2022
*
English class taken in 2021 - 2022
*
Regular English
Accelerated or Honors English
Other, please specify
14.
Science Course Taken in 2021 - 2022
Science Course Taken in 2021 - 2022
8th Grade Science
Biology
Chemistry
Other, please specify
15.
Foreign Language in 2021 - 2022
Select at least 0 and no more than 5.
French 1
Spanish 1
Spanish 2
Latin 1
Other, please specify
16.
Extracurricular Courses or Clubs you participated during 2021-22
Include in "Other" if you participated in anything prior to Year 2021-22
Select no more than 13.
Band
Choir
Football
Soccer
Baseball/Softball
Basketball
Swimming
Golf
Tennis
Volleyball
Cheerleading/Dance Team
Robotics
TSA
Other, please specify
17.
Extracurricular Courses or Clubs PLANNING to take in 2022-23 School Year
Select no more than 13.
Band
Choir
Football
Soccer
Baseball/Softball
Basketball
Swimming
Golf
Tennis
Volleyball
Robotics
TSA
Cheerleading/Dance Team
Other, please specify
18.
List any extracurricular activities, clubs or hobbies that you participate in on a regular basis outside normal school day hours.
19.
How did you hear about the Madison Central Engineering Academy
Select at least 1 and no more than 6.
Video Shown at Rosa Scott
Video Shown at MMS
Counselor
Engineering Academy Webpage
Friends
Other, please specify
20.
List any comments or concerns such as what grade you plan to start the academy, scheduling conflicts, etc.
21.
Answer the following prompt in 75-200 words. This should only be a good paragraph or two.
What have you learned about engineering that makes you interested in this academy? Include anything from your STEM or other technology classes, from people you may know who have been in the engineering academy or work in the engineering field, and from research you may have done on your own.
*
