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Second Year Program Application 2004-2005
See you in September!!!>

This is the North Fork School Online Application Form for the Second Year Program in American Literature and History. Fill out the following fields, print a copy for your records, then press "SUBMIT". The application will be forwarded by email to Marie. Thanks.

* * * PRIVACY POLICY * * *

The information provided on this form will not be shared with any individual, organization, or business outside of The North Fork School. It will be kept with each student's records in a secure place, and will be used only for the purposes of communicating with each student's family.

Warning: This application contains some essays at the end...please read those questions FIRST, and only fill in the top part of the application when your work is complete, because your information will be lost if you stop & come back later.
Student Information

Name:

Grade in Sept. 2004:

Birthdate:

2004 State Writing Assessment score:

E-mail Address:

Street or PO Box address:

City, State, Zip:

Phone:

Parent Information

Mother's Name:

Mother's E-mail Address:

Street or PO Box address:

City, State, Zip:

Work Phone:
Cell Phone:

Father's Name:

Father's E-mail Address:

Street or PO Box address:

City, State, Zip:

Work Phone:
Cell Phone:

Class: Second Year Program; no French

French: Second Year Program with French

Please respond thoughtfully to the following questions.

Why do you want to enter the North Fork School Program?:

What are your interests/hobbies/sports/favorite classes?:

What are your goals for this course?:

List three words that describe your physical presence:

List three words that describe your unique emotions:

List three words that describe your intellectual traits:

List three words that describe your spirit:


For the following sections, you may want to use a word processing program or paper for your drafts. When you have your pieces finished, cut & paste them into the windows of your application below. Windows are limited to 50 lines, so if your pieces are longer than that, just email them to me from our website at: http://www.webpak.net/~furever.

Create a piece about yourself using the traits you listed above. It can be a poem, or a paragraph, or a letter, or any other written form that appeals to you. Make it as specific and as polished as you can:


After your piece is finished, write a second version of the same piece that reveals how you hope to be different at the end of the program next Spring: