Student Application for Enrollment High School Program

HS Students Attend Chamberlain Public High School

St. Joseph’s High School Program is a residential education community. Our mission is to provide students with a secure, nurturing home environment designed to prepare students for the challenges of adulthood. We apply the four values of the Circle of Courage within our residential program: Belonging, Mastery, Independence, and Generosity. Spirituality and daily prayer are important aspects of our HS Program.

THIS STUDENT APPLICATION IS TO BE FILLED OUT BY THE STUDENT

Please take your time in thoughtfully answering the following questions.

HS Students Attend Chamberlain Public High School

"*" indicates required fields

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Student Name*

First Last

Student Email*

Today's Date*

MM slash DD slash YYYY

Birth Date*

MM slash DD slash YYYY

Current School*

Grade Applying For*

Please enter a number from 9 to 12.

Expectations for Acceptance

Academic:

Minimum of 2.50 GPA
Able to work independently in school and at home
Good attendance
Positive behavior

Social:

Emotional stability: no verbal or physical aggression
Social skills compatible with current HS homes, students and CHS environment
- Ability to get along with peers and adults
- Ability to ask questions and request assistance when necessary
Sober life style

Commitment:

Student must be highly committed to both St. Joseph’s Indian School, the HS Program and Chamberlain High School
Student must hold education as a high priority
Must be committed to graduating High School
Family commitment to St. Joseph’s Indian School and to education is also very important

Belonging

Active participation in a residential environment, active participation at school, active participation in religious education, respect for space, Home meetings, Home trips, consistent communication. St. Joseph’s Indian School is a Catholic organization and all students are required to attend weekly religious education classes, participate in weekly Mass on Sunday and Holy Days, as well as participate in daily prayer in the home.

Are you willing to fully participate in these religious activities?*

Yes

Please explain:*

Chamberlain HS offers many opportunities to become involved; what extracurricular (sports, cheerleading, band, drama, Native American Club, etc.) are you currently involved in or would like to be involved in?*

Please explain how you currently get along with your teachers:*

How do you respond when you do not agree with a rule or expectation at school or at home?*

Mastery

Emotional, spiritual, mental and physical growth, academic mastery, democratic living and learning, student mentoring.

Have you ever been involved in any disciplinary issues in school or with the law?*

Yes

If yes, please explain.*

What will you choose to do if a similar occurrence should present itself?*

Please give two examples of what you would do.

Please explain how you handle negative emotions (frustration, anger) during school and at home:*

What is your plan to improve your study habits and grades?*

How do you expect your high school to assist in helping you plan for your future and reach your goals?*

How do you continue to keep trying and continue to have a positive attitude in the face of stress, discouragement, frustration and/or defeat?*

Independence

Work experience, learning beyond the classroom, student initiated activities, driving privileges, independent study.

Please describe your current school attendance pattern and explain any absences:*

How often are you tardy for school or class?*

Often

Sometimes

Never

If often or sometimes, what has prevented you from getting to school or classes on time?*

Please describe your current study habits during class and during the school day:*

Please describe your current study habits before or after school (homework):*

Do you turn in assignments on time?*

Always

Often

Sometimes

Rarely

Please explain:*

How often do you seek out a teacher and ask them for help?*

How do you respond when you receive a consequence for poor choices or negative behavior?*

At times other students will make poor choices and will try and get you to do the same, how do you handle these situations and what is your response to the peer pressure from these students?*

Generosity

Volunteering, recycling, fundraising, creativity, student mentoring.

Have you contributed to any community service projects?*

Please explain.

Are you willing to volunteer for community service projects?*

Yes

Please explain.*

What are your current plans/goals for your future after high school graduation?*

Why should you be selected for the St. Joseph’s Indian School High School Program?*

*If you are not selected for our high school program, what are your future plans for high school?*

By signing below, I acknowledge that I have completed this application honestly to the best of my knowledge.*

Today's Date*

MM slash DD slash YYYY

Student Application for Enrollment High School Program

*HS Students Attend Chamberlain Public High School*

THIS STUDENT APPLICATION IS TO BE FILLED OUT BY THE STUDENT

Expectations for Acceptance

Belonging

Mastery

Independence

Generosity

HS Students Attend Chamberlain Public High School