Advanced Studies Laureate

Program
2015-2016 Advanced Studies Laureate Candidate Application and
Declaration of Essay Topic
Directions: Please review the specific guidelines in the Collier County Public Schools Advanced
Studies Laureate Program brochure. If you meet the criteria for admission to the program and
wish to apply, please submit the following application and declaration of essay topic by October
1, 2015.
I. Personal Information
Student Name:
Student Identification Number:
School:
Grade:

________________________________________________
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Address:

Street: __________________________________________
City: _____________ State: _____ Zip Code: _________
________________________________________________
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Telephone:
E-mail Address:
Parent/Guardian Name:
Address:
Telephone:
E-mail Address:

________________________________________________
Street: __________________________________________
City: _____________ State: _____ Zip Code: _________
________________________________________________
________________________________________________

II. Advanced Studies Courses for Grades 9, 10, and 11

Mathematics and Science:
Courses

Level (AP/AICE AS or A)

Exam Grade

Languages:
Courses

Level (AP/AICE AS or A)

Exam Grade

Level (AP/AICE AS or A)

Exam Grade

Arts and Humanities:

Courses

Cumulative Grade Point Average:

Unweighted: _____________Weighted: _______________

III. Advanced Studies Courses for Grade 12

Mathematics and Science:
Courses

Level (AP/AICE AS or A)

Languages:
Courses

Level (AP/AICE AS or A)

Arts and Humanities:

Courses

Level (AP/AICE AS or A)

IV. Community Service

Number of Hours Completed: _________________

The candidate must accrue a minimum of 100 documented community service hours by
graduation.
V. Performances of Excellence
The candidate must complete a minimum of two performances of excellence per year in the
program. Refer to the specific guidelines in the Collier County Public Schools Advanced Studies
Laureate Program brochure.
Performances

Date

VI. Declaration of Essay Topic

Proposed Laureate Essay Title:
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Proposed Laureate Essay Research Question:
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Proposed Laureate Essay Thesis:
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Description of Laureate Essay Content:
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VII. Signatures
Candidate Signature:

__________________________________

Date: _______

Parent Signature:

__________________________________

Date: _______

School Coordinator Signature:

__________________________________

Date: _______