LSAApplication2025

We are no longer taking applications for the Academic Year 2025-2026

Please fill out the application as soon as possible as seating will be limited. Please provide accurate information.

This application is our only means of identifying you as interested in the Life Science Academy and we can use your contact information to help you through the other steps of our application process as necessary. Students are encouraged to complete the testing/application process by the end of April. Due to high demand, applicants are encouraged to apply as early as possible as enrollment is limited. The earlier you complete the application process, the smoother your high school scheduling will be. When you schedule for high school, please indicate that you want to include Community Campus (Life Science Academy) among your courses. The finalized enrollment goal is the end of April; however, the enrollment opportunity will be open only as long as there are spots. You should receive confirmation once you submit the application below and we will get in contact with you as soon as we receive your test scores.

An application requires 3 things in order to be considered for admission. Students must (1) complete this application form, (2) submit an ACT score to Ms. Jerome, and (3) provide a core teacher name for a recommendation. Students will not be considered until these 3 things are complete.

Student Information

* Indicates required field

Student First Name *

Student Last Name *

Middle School *

High School *

GPA *

Student Email *

student email NOT parents email

Birthday *

For birthday use following format: 10/11/2020

Student Phone (optional) *

Students phone number is optional

Student Address

Street Address *

City *

Zip Code *

Ethnicity *

We will make every effort to place you in the section of your choosing but cannot make any guarantees- first come, first served and seating is limited. Which section would you prefer?

Section *

Core Teacher Contact Info (Math, Science, English/Reading Teachers only)

The information below will allow us to contact your core teacher to write a short recommendation letter on your behalf. Please contact the teacher in advance and make sure they are willing to write a recommendation letter for you. Please tell the teacher we will contact the teacher.

Core Teacher Name *

First

Last

Core Teacher Email *

Core Teacher School *

Testing Information

Have you taken the ACT? *

ACT Composite Score (Type Future if you have not yet taken the ACT) *

Future ACT Date *

If you plan to take or retake the ACT in the Future.

Please click below to confirm the following: I understand that if I take the ACT, my ACT scores MUST be sent to Ms. Amanda Jerome and that this WILL NOT happen automatically. Once I receive my scores I will scan the official document and email it to Amanda Jerome - College/Career Readiness Coordinator [email protected]. I will call Ms. Jerome with ANY questions regarding my test scores @ (270) 852-7000.

Click below *

Yes, I understand that I must email my ACT scores to Ms. Jerome becuase this does not happen automatically

Parent/Guardian Information

Contacts First Name *

Contacts Last Name *

Contacts Phone *

Contacts Email *

SB150 Waiver - Parent or Guardian Must Complete this Section

Your student’s enrollment includes Advanced Placement (AP), Dual Credit, and/or Life Science Academy classes. These classes provide opportunities for students to participate in college level courses.

In compliance with KRS 158.1415 and KRS 160.345, all schools are required by law to notify parents and receive parental permission when the topic of human sexuality is addressed within the course content.

Many of our AP, Dual Credit and Life Science Academy classes potentially cover topics typically not addressed in traditional high school courses related to human sexuality. This letter serves as written notification to you as guardian that due to enrollment in AP, Dual Credit, and/or Life Science Academy classes your child may be enrolled in a course that covers human sexuality. For example, AP Biology and health science related courses cover reproduction.

Per DCPS board policy, you must provide written consent for your student to participate in such courses. If we do not receive your permission, your student’s enrollment will need to be adjusted.

As guardian, you may also opt to further review the content of the courses your student is enrolled in. To do so, email Dr. Chad Wilkerson ([email protected]) with a request for further view of the course.

I acknowledge that my student is enrolled in AP, Dual Credit, and/or Life Science Academy courses that potentially cover topics related to human sexuality. By typing your name below, you give consent for your student to participate in such course(s).

I am a parent or guardian of this student and I give consent for my student to participate in the Life Science Academy curriculum *

Yes I agree

Parent Name (Parent must Type This) *

First

Last

To apply to the Life Science Academy, we only need students to submit this application one time. There is no situation where a student should submit this application multiple times. If a student would like to update any of the information on their application at a later time, please send an email to Dr. Wilkerson ([email protected]).

Click Below *

I am submitting this application for the first time.

Submit