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Gsbit2020 Governor's School for Business, Innovation and Technology

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Application for the
2020 Tennessee Governor’s School
for
Business, Innovation and Technology
at
Tennessee Technological University
Cookeville
1
General Information
The Tennessee Governor’s Schools offer Tennessee high school students intensive learning experiences
on postsecondary campuses. Each school system is encouraged to share the Governor’s School
information and applications with strong students who meet the criteria listed below. Nominations for
the Tennessee Governor’s Schools must be made by high school educators who can speak to the
student’s potential for success in the program. Each Governor’s School convenes an application review
committee to select the students invited to attend each school.
Submitting the Application:
Nominating educators should email or mail completed applications to the respective Governor’s
School(s). Applications submitted directly by students will not be accepted. The student may keep a copy
of the application, excluding the confidential Teacher Reference forms and the confidential
Counselor/Administrator Verification form; the nominating educator should keep one complete copy of the
submitted application package.
Application Submission Instructions
Ensure applications are complete, arranged in the correct order, and contain all required signatures
and documents as outlined below.
1.
Nominating educators must submit applications with a postmark no later than the deadline(s)
listed on page two of each application.
2.
Each Governor’s School has specific essay and writing sample questions. All questions must be
answered and submitted with the application packet.
3.
Class rank, class size, numerical test scores, etc., must be verified by the school counselor or
school administrator, if available. Please note that while PSAT, SAT, and ACT scores are not
mandatory, school administrators are strongly encouraged to include this information if available.
4.
Students are to list two teachers (see school-specific list) to complete the confidential Teacher’s
Reference forms. If the teacher is not the faculty member nominating the student, he/she should
return the completed reference forms directly to the nominating educator. There is a space
available at the bottom of the teacher reference form to put the name of the school personnel to
whom the form is to be returned.
5.
An official transcript must be included in the application packet.
Additional guidance on completing the required forms can be found on page 3 of the application packet,
“Application Checklist.”
2
Governor’s School for Business, Innovation and Technology
Tennessee Technological University
May 31 – June 27, 2020
Attending the Governor's School for Business, Innovation & Technology enhances student knowledge of business and
entrepreneurship practices, global innovation, information technology, and leadership principles. Students form teams to
develop a business plan for a business of their own creation. Their business will be based on a technologically innovative
product. Students should possess excitement for learning and a desire to work with others.
Students will have the following experiences:
• earn three hours of college credit;
• learn more about the latest in business, innovation and technology;
• develop an interest in business leadership and business practices;
• simulate management and ownership of a business;
• live on campus at Tennessee Technological University;
• learn from university professors and business leaders;
• create a business plan and compete in a variety of real-world business scenarios;
• explore a variety of subject matter on business, information technology, professional development, and leadership
• experience the Upper Cumberland region during fun and engaging evening and weekend activities
• meet other high school students with similar interests from across Tennessee; and
• develop a large network of peers, professors, college students and business professionals.
Prerequisites: Rising juniors and seniors (or students who are currently sophomores and juniors) may apply. Applicants
must have a 3.0 GPA or higher on a 4.0 scale.
Application deadline: Dec. 1, 2018
Appl
icant:
Nominating HS Faculty:
3
Governor’s Schools of Tennessee – Application Checklist
Is this application complete?
☐ Applicant Information Form
☐
Completed by applicant/parent/guardian
☐
Certification of Application
☐ Signed by applicant
☐ Signed by parent/guardian
☐
Signed by counselor/ administrator
☐
Student Achievement Information
☐
Completed and signed by counselor/principal
☐ Confidential Teacher Recommendation 1
☐ C
ompleted and signed by teacher 1
☐
Confidential Teacher Recommendation 2
☐
Completed and signed by teacher 2
☐
Official Transcript
☐ Questions referred to on page 6
☐ Student responds to each question
Governor’s Schools of Tennessee – Teacher Recommendation Guide
The two confidential Teacher Recommendation forms should be completed as follows:
Governor’s School
Teacher Recommendation 1
Teacher Recommendation 2
Agricultural Sciences
Applicant’s choosing
Applicant’s choosing
Arts
Arts area teacher
Applicant’s choosing
Computational Physics
Science teacher
Math teacher
Emerging Technologies
Science teacher
Math teacher
Engineering
Science teacher
Math teacher
Humanities
English teacher
Applicant’s choosing, preferably
in humanities discipline
Innovation & Entrepreneurship
Technology or business teacher
Applicant’s choosing
Integration of Biological & Statistical
Sciences
Science teacher
Math teacher
International Studies Foreign language teacher, if
available
Social studies teacher, if available
Prospective Teachers
English teacher
Applicant’s choosing
Sciences & Engineering
Science teacher
Math teacher
Scientific Exploration of Tennessee
Heritage
Social studies or science teacher Humanities or arts teacher
Please list the two teachers from whom the applicant is requesting confidential teacher
recommendations.
Name
Teacher 1
Teacher 2
4
Governor’s Schools of Tennessee - Applicant Information Form
Student Information
Last Name
First Name
Middle Name
, TN
Mailing Address
City
Zip Code
County
Home Phone
Cell Phone
Email Address
☐ Female
☐ Male
☐
Native American
☐ Asian
☐ Hispanic or Latino
☐
Black or African American
☐ White
☐ Other
Date of Birth
Month/Day/Year
Gender
Race (select all that apply)
Parent/Guardian Information
Parent/Guardian Name
Relationship to Applicant
, TN
Mailing Address
City
Zip Code
Work Phone
Cell Phone
Email Address
School Information
School Name
District Name
Counselor Name
Phone
Email
, TN
Mailing Address
City
Zip Code
5
Governor’s Schools of Tennessee – Certification of Application
Preference Indication
Any student applying to multiple Governor’s Schools
must rank the schools in order of preference on this
form only (1=most preferred, etc.). It is not
necessary to rank schools to which the student will
not apply.
Ranking
Governor’s School
Agricultural Sciences
Arts
Computational Physics
Emerging Technologies
Humanities
Business Innovation and Technology
Integration of Biological & Statistical Sciences
International Studies
Prospective Teachers
Sciences and Engineering
Scientific Exploration of Tennessee Heritage
Student Assurances
I have not previously attended a Tennessee Governor’s School, and I affirm, agree, and/or understand that all statements on
this form are true and accurate; any misrepresentation or omission of material facts may result in disqualification or
termination should I already be enrolled in a Tennessee Governor’s School.
By making this application, I and my parent/guardian agree to the release of any necessary school records to the Governor’s
School and the respective university for the purpose of determining eligibility. I/we understand and agree that such school
records will be kept confidential and used only for determining admissibility to the Governor’s School. Students who do not
agree to the release of such school records for determining admissibility will not be considered for the Governor’s Schools.
I certify to the best of my knowledge all of the information provided in this application is correct. I acknowledge that
information about me may be used for publicity purposes if I am selected to attend a Governor’s School.
Applicant’s Printed Name
Applicant’s Signature
Date
Parent/Guardian Assurances
I have carefully reviewed the information on this application and give my permission for my son/daughter to proceed with
application procedures. I acknowledge that the Governor’s Schools may offer university course credit and grades which will
require university enrollment. I authorize the high school and its employees to release any information necessary for this
application.
Parent/Guardian’s Printed Name
Parent/Guardian’s Signature
Date
School Assurances
I nominate the applicant listed above for the Tennessee Governor’s School and certify that the applicant meets the criteria
and the prerequisites of the Governor’s School to which the application is made. I recommend this student for admission to
the Governor’s School(s), for admission to the hosting university during summer session 2020, and for enrollment in university
courses which may or may not allow the student to earn postsecondary credit and grades.
Nominating Educator Printed Name
Nominating Educator Signature
Date
6
Application Questions
Instructions
Questions 1 and 2 must be submitted in the fo
rm of video responses. Please post your one-minute response as a public
YouTube video, and email both URLs to govschonl@tntech.edu. Question 3 should be answered in 100-200 words and typed on
a separate sheet of paper.
1.
What problem are you most passionate about so
lving? (One minute. Title video: "Student Name - Passionate")
2. Why do you want to participate in the TN Gove
rnor's School for Business, Innofation & Technology?
(One
minute. Title video: "Student Name - Why?")
3. If you could hold any position in a copmany, aside from CEO, what position would that be, and what are your qualifications
(technical skills, leadership skills, or other soft skills)? Your response should be 100-200 words, typed. You may incldue a
resume, which will not be included in your word count.
7
Achievement Tests
Test (list others as appropriate)
Grade Administered
Score
Percentile Ranking(s)
TCAP Writing Assessment
Aptitude Tests
Test
Grade Administered
Score
Percentile Ranking(s)
PLAN Composite
ACT Composite
PSAT Critical Reading
PSAT Writing
SAT Verbal
SAT Math
SAT Writing
SAT II - specify test(s)
Any Additional Relevant Test Scores
Name of Test
Grade Administered
Total Score /
Subscores
Percentile Ranking(s)
Attendance and Discipline
2018-19 2019-20 (to date)
Number of days absent
Number of disciplinary referrals
(please explain or attach disciplinary record on separate sheet)
Governor’s Schools of Tennessee – Student Achievement Information
To the counselor/school administrator: The student listed below is applying for selection to a Tennessee
Governor’s School. A
complete application requires the following information and verification from you. While
information pertaining to some of the following items may not be available for all students, please include all
available information. Use the latest scores available. If your school does not rank, enter “do not rank” or “none.”
Student Information
Last Name
First Name
Middle Name
☐
10
th
☐
11
th
Current
Grade
Class Size Class Rank “HOPE Scholarship GPA” Cumulative GPA
☐
CTE (specify career cluster)
☐
Science and
Math
☐
Humanities
☐
Fine Arts
☐
AP/IB
☐
Other (specify)
Elective Focus
If the above-referenced students does not meet the prerequisites set forth in the application packet, is not
academically qualified, and/or you would not recommend this student for a Governor’s School, then the student
is ineligible and an application should not be submitted.
8
Counselor/Administrator Verification
1. Please provide narrative comments about this student to help with our evaluation. Narrative comments
are extremely helpful to the selection committees during the evaluation process. Use a separate sheet if
necessary.
2. Have you reviewed the student’s academic records?
☐ Yes
☐ No
3. Does the student meet the prerequisites of the Governor’s School(s) to
which this application is made?
☐ Yes
☐
No
4. In your opinion, how academically qualified is the student for the
Governor’s School experience?
☐ Highly Qualified
☐ Qualified
☐ Marginally Qualified
☐ Not Qualified
I certify to the best of my knowledge the above results are accurately reported.
Counselor/administrator’s Printed Name
Counselor/administrator’s Signature
Date
9
Governor’s Schools of Tennessee – Confidential Teacher Recommendation
Student Information
Last Name
First Name Middle Name
Educator nominating applicant:
Deadline to return teacher recommendation
To the teacher: The above-referenced student is applying to attend one of the Tennessee Governor’s Schools, an
intensive residency program for mature, gifted, and talented students. This applicant has designated you as one
of his or her teachers of reference. This recommendation form is a critically important part of the student’s
application and will have a significant role in the selection process. Please provide us with a candid, frank, and
complete assessment of this student’s maturity, attitude, work commitment, and creativity. This form will not
become a part of the student’s regular school records; it will be used solely by officials of the Governor’s School
to aid them in the selection process. The contents of this form will not be disclosed to the applicant or his/her
parents/guardians. The Governor’s School officials greatly appreciate your help in this selection process.
Please return this completed form to the applicant’s nominator by the date listed above.
1. How long have you known and worked with this applicant?
2. In what situations have you served as this applicant’s teacher?
3. Please evaluate this applicant in the areas below, comparing him or her with similar outstanding students
you have had in the past:
Ability to learn
☐ Learns very quickly
☐ Learns readily
☐ Average
☐ Must work hard to learn
☐ Does not learn easily
Attitude toward work
☐ Outstanding
☐ Above Average
☐ Average
☐ Can be indifferent
☐ Lacks commitment
Dependability/consistency
☐ Always dependable
☐ Above average
☐ Average
☐ Occasionally unreliable
☐ Usually unreliable
Initiative
☐ Self-directed/motivated
☐ Usually independent
☐ Completes work assigned
☐ Needs some prodding
☐ Very hesitant
Judgment
☐ Exceptionally good
☐ Above average
☐ Average for a teenager
☐ Occasional poor judgments
☐ Frequent poor judgments
Maturity
☐ Extremely mature
☐ Above average
☐ Average teenager
☐ Somewhat mature
☐ Very immature
Relations with others
☐ Exceptionally good
☐ Above average
☐ Average
☐ Occasional conflicts
☐ Many conflicts
Quality of work
☐ Excellent
☐ Very good
☐ Average
☐ Below average
☐ Very poor
Quantity of work
☐ Unusually high output
☐ Above average
☐ Average output
☐ Not a great producer
☐ Low output, slow
4. How would you describe the applicant’s punctuality?
☐ High ☐ Average ☐ Low
Continued on next page
10
Governor’s Schools of Tennessee – Confidential Teacher Recommendation
(cont’d)
5. What is your best judgment about this applicant’s emotional maturity and stability to deal with an
intensive residency program in which he/she will meet new people, face new situations, and encounter
new challenges during the weeks of the program?
☐
This applicant will adapt readily to the changes and challenges and will be a successful participant.
☐ This applicant should be able to adapt to the changes and challenges with minimal adjustment.
☐ This applicant should succeed but will have some difficulty dealing with the stress.
☐ This applicant may have some difficulty dealing with the stress and may not be successful.
☐
This applicant will have great difficulty dealing with new situations and challenges.
6. This applicant’s outstanding personal qualities are:
7. The personal qualities this applicant should strive most to improve are:
8. Please indicate your overall judgment about this applicant:
☐ Very highly recommended, an outstanding student who will do well in the school.
☐ Highly recommended, a very good student who will be successful in the school.
☐ Recommended, a good student who will participate effectively in the school.
☐ Recommended with reservations, a good student but he/she may present some problems.
☐ I do not recommend this student.
9. Summary Comments: We must select a relatively small number of students from a large pool of
exceptional applicants. Please tell us something about this student that is not reflected in any of the above
ratings which will help us make a decision. What makes this applicant truly exceptional? Summary
comments are extremely important to the selection committees, and reference letters are acceptable. If
you need more space, you may attach another sheet.
Name
Signature
Date
11
Governor’s Schools of Tennessee – Confidential Teacher Recommendation
Student Information
Last Name
First Name Middle Name
Educator nominating applicant:
Deadline to return teacher recommendation
To the teacher: The above-referenced student is applying to attend one of the Tennessee Governor’s Schools, an
intensive residency program for mature, gifted, and talented students. This applicant has designated you as one
of his or her teachers of reference. This recommendation form is a critically important part of the student’s
application and will have a significant role in the selection process. Please provide us with a candid, frank, and
complete assessment of this student’s maturity, attitude, work commitment, and creativity. This form will not
become a part of the student’s regular school records; it will be used solely by officials of the Governor’s School
to aid them in the selection process. The contents of this form will not be disclosed to the applicant or his/her
parents/guardians. The Governor’s School officials greatly appreciate your help in this selection process.
Please return this completed form to the applicant’s nominator by the date listed above.
1. How long have you known and worked with this applicant?
2. In what situations have you served as this applicant’s teacher?
3. Please evaluate this applicant in the areas below, comparing him or her with similar outstanding students
you have had in the past:
Ability to learn
☐ Learns very quickly
☐ Learns readily
☐ Average
☐ Must work hard to learn
☐ Does not learn easily
Attitude toward work
☐ Outstanding
☐ Above Average
☐ Average
☐ Can be indifferent
☐ Lacks commitment
Dependability/consistency
☐ Always dependable
☐ Above average
☐ Average
☐ Occasionally unreliable
☐ Usually unreliable
Initiative
☐ Self-directed/motivated
☐ Usually independent
☐ Completes work assigned
☐ Needs some prodding
☐ Very hesitant
Judgment
☐ Exceptionally good
☐ Above average
☐ Average for a teenager
☐ Occasional poor judgments
☐ Frequent poor judgments
Maturity
☐ Extremely mature
☐ Above average
☐ Average teenager
☐ Somewhat mature
☐ Very immature
Relations with others
☐ Exceptionally good
☐ Above average
☐ Average
☐ Occasional conflicts
☐ Many conflicts
Quality of work
☐ Excellent
☐ Very good
☐ Average
☐ Below average
☐ Very poor
Quantity of work
☐ Unusually high output
☐ Above average
☐ Average output
☐ Not a great producer
☐ Low output, slow
4. How would you describe the applicant’s punctuality?
☐ High ☐ Average ☐ Low
Continued on next page
12
Governor’s Schools of Tennessee – Confidential Teacher Recommendation
(cont’d)
5. What is your best judgment about this applicant’s emotional maturity and stability to deal with an
intensive residency program in which he/she will meet new people, face new situations, and encounter
new challenges during the weeks of the program?
☐
This applicant will adapt readily to the changes and challenges and will be a successful participant.
☐ This applicant should be able to adapt to the changes and challenges with minimal adjustment.
☐ This applicant should succeed but will have some difficulty dealing with the stress.
☐ This applicant may have some difficulty dealing with the stress and may not be successful.
☐
This applicant will have great difficulty dealing with new situations and challenges.
6. This applicant’s outstanding personal qualities are:
7. The personal qualities this applicant should strive most to improve are:
8. Please indicate your overall judgment about this applicant:
☐ Very highly recommended, an outstanding student who will do well in the school.
☐ Highly recommended, a very good student who will be successful in the school.
☐ Recommended, a good student who will participate effectively in the school.
☐ Recommended with reservations, a good student but he/she may present some problems.
☐ I do not recommend this student.
9. Summary Comments: We must select a relatively small number of students from a large pool of
exceptional applicants. Please tell us something about this student that is not reflected in any of the above
ratings which will help us make a decision. What makes this applicant truly exceptional? Summary
comments are extremely important to the selection committees, and reference letters are acceptable. If
you need more space, you may attach another sheet.
Name
Signature
Date
13
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