FOOTHILL PREPARATORY SCHOOL

FOOTHILL PREPARATORY SCHOOL
9123 Broadway

Temple City, California 91780

Tel: (626) 282-9936 Fax: (626) 282-9937
Grades 6 - 12 Summer School Programs Application Form

June 21, 2021 to July 30, 2021
Name*

First Name Last Name
Date of Birth*

MonthDay Year
Date
Home Address No.*
Home Street Name*
City*
State*
Zip Code*
Telephone:*
Student Email Address:*
Name of Parent #1 or Guardian:*
Parent #1 or Guardian Cell Phone:*
Parent #1 or Guardian Email Address:*
Name of Parent #2 or Guardian:
Parent #2 or Guardian Cell Phone:
Parent #2 or Guardian Email Address:
Name of School (2021-2022)*
School Address:*
Grade Level (2021-2022)*

6th Grade7th Grade8th Grade9th Grade10th Grade11th Grade12th Grade
Transcript Policy:

We will automatically send one transcript at no cost to you (complimentary) to your current school once your final grade for the course has been issued. You may request to opt-out of having your transcript sent when you register for the class. You will be charged $30 per transcript if you change your mind later on and request a transcript sent or if you wish to order additional copies of your transcript in addition to the complimentary transcript.

NOTE: You can earn credits that may transfer to your school. (Please contact your school administrators)
Do you want to transfer credits to your school?*

YesNo
Courses Offered:

NOTE: Semester courses may start either June 21 or July 12.

Each class will be held Monday-Friday (3.5 hour period). You make take one class per block (maximum 2 classes). Two blocks are available from 8:30 am - 12 pm and 12:30 pm - 4:00 pm.

Currently, we can offer classes covering the following:

A. Core subject areas for high school – math, science, English, social studies

B. Honors/AP – chemistry, physics, English, US history, government, economics

C. ELD – English, US history, world history, science

D. Enrichment – math, science, English, social studies

Format:

Hybrid or in the classroom.

Tutoring:
FPS can offer tutoring for the summer. Please contact the school (direct to contact form) if you would like to arrange tutoring in a subject, and we will go over schedule options and fees based on the number of hours of tutoring being requested.

Camp:
FPS may offer a day camp over the summer that will include learning and outdoor physical activities. If you are interested in enrolling your student in a day camp, please contact (direct to contact form) the school. We will need to have at least have 10 students enroll in order to offer a day camp.
Type in the course(s) you are interested in taking at FPS. *
By printing and signing my name below, I indicate that I understand and agree to a non-refundable tuition policy. I agree that a legal Fax or email is equivalent to an original legal document that I signed and printed my name.
Student Name:*
Student Signature (use your computer mouse to sign)*

Clear
Guardian Name:*
Guardian Signature (use your computer mouse to sign)*

Clear
Today's Date:*

MonthDay Year
Date
Step 1: Send your application to info@fpsch.org
Step 2:

a). Submit a Picture in Color At least 2x2 inches in size The head is about 1 & 1 3/8 inch Taken in Full- face view Taken within the last 6 months Plain light color background.

b). Submit your most current report card and/or transcript.

***Please send the photo with the student name and report card and/or transcript to info@fpsch.org and/or upload the files below.
Upload a Picture Here (100MB max)*

Browse Files

Cancelof
Upload Report Card and/or Transcript Here (100MB max)*

Browse Files

Cancelof
Step 3:

Fees:

Students pay FPS:

**Registration Fee: $25 (Non-refundable)

Registration Fee may be paid using the link below:

https://www.fpsch.org/products/foothill-preparatory-school-summer-school-registration/

Course Fee may be paid using Zelle or Check:

**Course Fee: $300 tuition for a one-semester class (5 units). $600 tuition for a full-year class (10 units).

Refund Policy:

Students who drop a class within the first week will receive a partial refund of 75% of the class tuition. No refunds will be given if a student drops a class once the second week has started.
Please Select Payment Type*

Credit Card (For Registration Fee Only)Zelle to lliu@fpsch.orgCheck Payable to Foothill Preparatory School
Please verify that you are human*
Should be Empty:

Now create your own Jotform - It's free!Create your own Jotform

FOOTHILL PREPARATORY SCHOOL

Grades 6 - 12 Summer School Programs Application Form