The P-TECH Program at the Crowley Academy of Aviation, Transportation, and Logistics (C-ATL) Thank you for your interest in the C-ATL P-TECH Academy at Crowley ISD. This Academy houses 5 unique Programs of Study: Aviation Maintenance, Logistics & Supply Chain Management, UAV/UAS (Drones), Computer Programming, and Aviation Flight. We look forward to adding new enrollees to our next cohort of exceptional students. To learn more about the programs of study in the P-TECH Academy at Crowley ISD, please visit our website at https://www.crowleyisdtx.org/CATL. The Program Request packet is for students seeking to join one of the five programs of study at the P-TECH Academy in the Fall of 2023. To be eligible, the student must currently be in the 8th (Aviation Maintenance only) or 9th grade. Your completed Program Request will help us better understand you as a candidate for the program and determine how we can support you and meet your needs. On the next page, you will find Program Request Instructions. All of the required information must be submitted before we can review your request. Please read carefully and follow all directions. Submit completed Program Requests to the Bill R. Johnson CTE center, c/o Kimberly Wrick, either in person or by email at Kimberly.wrick@crowley.k12.tx.us. Spaces are limited, so be sure to submit your request by Friday, March 24, 2023. If you have any questions, please contact Kimberly Wrick at 817-297-3018, or send an email to kimberly.wrick@crowley.k12.tx.us. We look forward to receiving your request! Sincerely, Kimberly Wrick Coordinator of P-TECH and CTE innovation Crowley ISD C-ATL/P-TECH Program Request Instructions: 1. C-ATL Program Request Form: Please make sure the information is legible and accurate. Include your CISD Student ID number that is found in Skyward. If you are not currently a CISD student, please include your current school name and student ID number. This form must be signed by a parent/guardian. 2. Additional documentation: If there is anything additional that you would like to include to better introduce yourself as a student, please attach at the end of your request. Your completed C-ATL Program Request Form must be received no later than Friday, March 24, 2023. Submit in person: Drop off at the Bill R. Johnson CTE Center front office c/o Kimberly Wrick, Coordinator of P-TECH and CTE Innovation Submit by email to: kimberly.wrick@crowley.k12.tx.us Enrollment decisions shall not be based on state assessment scores, discipline history, teacher recommendation, student essay, grade point average (GPA), or other criteria that create barriers for student enrollment. Note: We need to discuss TCC requirements for tech dual credit courses. C-ATL: The P-TECH Academy at Crowley ISD CATL/P-TECH Program Request Form for Fall 2023 (Please print clearly) Section A. General Information Student Name:____________________________________________________________________ Last First Middle Current School Name:______________________________________________________________ Current Grade Level (2020-21) Circle one: 8th, 9th Gender (Circle One): M F Student ID Number_____________________ Date of Birth:________________ Age:_____ Student Email Address:_________________________________________ Student Cell Phone:__________________________ Student Physical Address: _______________________________Apt#______City:___________Zip______ Parent/Guardian 1 Name: _______________________________________________________________ Email Address:______________________________________________Cell Phone: _________________ Parent/Guardian Address if different from student:___________________________________________ Parent/Guardian 2 Name: _______________________________________________________________ Email Address:______________________________________________Cell Phone: _________________ Parent/Guardian Address if different from student:___________________________________________ Who does the student reside with?________________________________________________________ Primary language spoken in the home:_____________________________________________________ Please check applicable educational experience: Mother Father Completed some college hours ______ ______ Received an Associates Degree ______ ______ Received a Bachelors Degree ______ ______ Received a Masters Degree ______ ______ Received a Doctorate Degree ______ ______ Section B. Student Survey 1. Do you currently receive free or reduced lunch? ___Yes ___No 2. How many days of school have you missed this year? ______________ 3. How many disciple referrals have you had this school year? 4. Do you currently participate in any special programs? (Optional) Check all that apply. a. ____ Gifted and Talented d.____ Bilingual/ESL b. ____ Dyslexia e. ____ Section 504 c. ____ Special Education f. ____ Speech 5. Indicate any medical conditions that require health assistance. _____________________________________________________________________________________ 6. Which Program of Study are you interested in pursuing? a. ____ Aviation Maintenance b. ____ Logistics & Supply Chain Management c. ____ UAV/UAS d. Computer Programming e. ____ Aviation Flight In the space below, please tell us why the C-ATL P-TECH Academy is right for you? ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________