Admission Form A: Student Application Form

Applicant Section

Please complete this section as it relates to the STUDENT.

New or Returning to Odyssey?(Required)

First Time Participant

Returning Participant

New Student Applications Begin September 1st

First-time students cannot apply at this time.

Only returning students can apply today.

Please return on September 1st and submit no later than February 11th, the application deadline.

Student Name(Required)

First Last

Birth Date(Required)

Age(Required)

Student's CURRENT age

Please enter a number from 3 to 18.

OdysseyID

This is your OdysseyID composed of your name and birth date. You cannot change it.

Sex(Required)

Female

Male

Ethnicity(Required)

Preferred Racial or Ethnic Identification. *Select all that apply

Black or African American

Hispanic or Latino

Non-Hispanic

Asian or Asian American

White/Caucasian

American Indian or Alaskan

Multi-Racial

Other

Ethnicity *Other

Please explain

Language(Required)

Primary language spoken at home

Do you feel your participation at Odyssey has improved your performance during the academic year?(Required)

Yes

Unsure

Other Family Members Applying

Are any other members of your household or family also applying to Odyssey?

Yes

Other Family Members Name

Please indicate their first/last name and current grade level

T-Shirt Size(Required)

At Odyssey, each scholar receives an Odyssey T-shirt! These are typically given out in the days leading up to the first field trip. Always make sure your T-shirt is clean and worn on the days you'll be off campus.

Grade Level(Required)

What is your current grade level for the academic year? Make sure your selection matches the grade on your report card.

School(Required)

What school do you currently attend? Select "Other" at bottom if your school is not in this list.

School

You indicated your school was not listed. Please provide your school's FULL title.

Please indicate your SCHOOL district(Required)

Student ID Number(Required)

Please provide your student ID number. Every public school student is given an ID number that can be found on the report card. Several schools also use these as their lunch identification numbers.

Rising Senior

As you are preparing to apply for college, Odyssey asks and strongly recommends that you upload your most recent transcript. Your transcript is required to apply to college. With Odyssey having this information saved in your file in advance of the summer, it will save you time in the long run as you are preparing your college applications. This way, we can print off as many copies as you'll require. If you ever want to update this information, please feel free to email admissions@odysseyatlanta.org a fresh copy. We are happy to update your application and send you an updated version for your records.

Parent/Guardian Contact

Please complete this section as it relates to the student's primary guardian.

Applicant's Parent/Guardian Contact(Required)

First and Last Name of the primary adult with whom Applicant lives: Provide the FULL name as you wish it to appear in emails and letters. This person should be the individual MOST LIKELY to respond in an emergency. Secondary contacts can still be listed later in the application.

First Last

What is the parent/guardian's relationship to the applicant?(Required)

Primary Email(Required)

Email is Odyssey's primary mode of contact. Odyssey cannot be held responsible for information not received if we cannot contact you. All correspondence will be sent primarily to the email you indicate below. Important information will be emailed, so please be sure you are providing an address you check regularly. We promise to never spam or give out your data to third parties.

Email Address Confirm Email

Primary Cell Phone Number(Required)

We will contact this number FIRST in the case of an emergency.

Can you be reached at this number in the event of an emergency?(Required)

Yes

Emergency Contact Number(Required)

Please provide an emergency contact cell phone number.

Student Phone(Required)

Please enter the student applicant's phone number below...

Student Email(Required)

Please enter the student applicant's email address below...

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Parent/Guardian Info

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Alternate Primary Cell Phone Number(Required)

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Address(Required)

Street Address Apt. or Unit # City State Zip

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How long have you been at this address?(Required)

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Household Size(Required)

Total number of individuals in current household

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Parent/Guardian Education Level(Required)

What is the highest level of completed education for the primary adult listed on the student's application?

High School Diploma

Technical Degree

Associates Degree

Bachelor's Degree

Master's Degree

PhD Doctoral Degree

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Parent/Guardian Official Job Title

Please indicate the primary adult's official job title. No description is necessary.

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Total Annual Gross Household Income:(Required)

Please select the income range that most accurately represents the primary contact's annual income.

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GA HUD Low Income Limit(Required)

Is your household size 4 or more people AND annual income approximately $54,550 or less?

Yes

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GA HUD Very Low Income Limit(Required)

Is your household size 4 or more persons with an annual income of approximately $34,000 or less?

Yes

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Transportation(Required)

Odyssey offers transportation for all grade levels. However, each family must keep in mind that transportation is available only WITHIN the Perimeter.

You will need to drop off and pick up your student in grades 1-6 at one of our Odyssey bus stops. Your student in grades 7-12 will get a prepaid MARTA card. Details are at https://OdysseyAtlanta.org/transportation.

Are you confident transportation will not become a barrier to attendance in the program?

I am confident

I am not confident

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Parent/Guardian Agreement:(Required)

I, the parent or guardian of the above applicant understand that Odyssey is an intense summer academic enrichment program. Odyssey Elementary and Middle is 6-weeks in length, Odyssey High is 5-weeks in length. Rising Seniors (Odyssey University) is 4-weeks in length. If my child misses more than 3 days for any reason, they will not be allowed to complete the program and may risk participation in subsequent years. A $35 non-refundable registration fee is required if the student is accepted into Odyssey. Registration fee is due no later than November 19th for returning students or May 15th for first-time students, after which a $15 late fee is charged. All food, transportation, overnight lodging, field trips and instruction are provided at no cost to the families. We estimate this value at more than $2,800 per student per summer.

Agree

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Volunteerism?

Are you interested in volunteering with Odyssey? *
*Volunteerism is neither required nor provides special status.

Yes

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Volunteer Options

Please select the volunteer opportunities that most interest you.
Select all that apply

Special Events (i.e. 5K Run/Walk, Fall Party, Annual Brunch)

Reading to Odyssey Students (summer time availability only)

College Mentorship

Odyssey Shark Tank (limited availability)

Odyssey Networking Event (held during the summer for Odyssey 8th Grade)

Provide a corporate field trip or luncheon opportunity for students

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Secondary Contact(Required)

Would you like to have Odyssey emails and letters sent to an adult secondary contact? This person will receive all the same correspondence as the primary contact. (If you say no then you can leave this contact's info questions blank.)

Yes

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Secondary Contact Name(Required)

First Last

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What is the secondary contact's relationship to the student applicant?(Required)

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Secondary Email(Required)

This email will receive the same updates as the email address above. Please do not provide the same email address.

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Additional Contact(Required)

In addition to a primary contact (and optional secondary household contact), Odyssey requires another contact, ideally someone who does NOT live in the same household as the student, who can be contacted in an emergency when the primary contact cannot be reached. This additional contact is never contacted except in cases of emergency.

First Last

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Relationship to Applicant(Required)

What is the additional contact's relationship to the student applicant?

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Additional Contact Phone(Required)

Please provide the BEST phone number in which additional contact can be reached.

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Optional: Secondary Phone

You can add an optional secondary phone number for this person?

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Optional: Email

You can add an optional email address for the applicant's additional contact?

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Pick-Up Authorization(Required)

Is the additional contact person authorized to pick up the student? Would you like to consider this person an "authorized pick up?"

Yes

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Authorized Pick Up Name

You may list an additional authorized pick up that can pick up and/or provide transportation for your child during Odyssey.

First Last

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Optional: Additional Contacts?

Feel free to add any additional contact notes, numbers, or contact information that you would like to include in the applicant's file?

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New Odyssey Applicant

All first-time students must complete this form by...

1. Uploading your report card

2. Answering some questions about your academic self

3. Answer 3 short-response questions.

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Upload your most recent school report card or progress report(Required)

Your application will not be reviewed until you upload a copy of your most recent report card from this year or last.

Are you viewing this application on a smartphone or tablet right now?

Then in the next question click “Select Files” to open a popup, then choose Camera to take a photo of your report card with your phone or tablet's camera. Report card images must be legible with good lighting, so photograph outdoors or under an indoor light.

Are you using a PC now?

If on your PC, and you have your report card stored as a photo file (JPG or PNG), or PDF, or scanned image, you can upload it now.

Drop files here or

Accepted file types: jpg, png, gif, pdf, jpeg, Max. file size: 256 MB, Max. files: 3.

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Have you applied before?(Required)

Please indicate how many times (if any) you have previously submitted an application to participate.

This is the first time I've applied

More than 3 (4+)

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Favorite course(s):(Required)

What are your favorite classes or subjects?

Class 1

Class 2

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Extracurricular(Required)

Are you involved in any organizations such as church youth groups, clubs, or sports teams? Type "N/A" if none.

Answer 1

Answer 2

Answer 3

Answer 4

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Indicate your special interests:(Required)

What special interests do you have or would like to explore? Type "N/A" if none.

Answer 1

Answer 2

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Room to Improve?(Required)

Are there any subjects or courses you feel you could improve? What courses are more difficult for you? Do you find science is harder than math, or writing is more difficult than acting? Tell us an area you'd like to improve...

Answer 1

Answer 2

Answer 3

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Gifted or Advanced Classes?(Required)

Is the applicant enrolled in any gifted or advanced classes?

Yes

Awaiting Testing

Other

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IEP or Remedial Classes?(Required)

Is the applicant enrolled in any IEP or remedial classes?
Please note that Odyssey does not discriminate against a student's IEP status.

Yes

Awaiting Testing

Other

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IEP or Remedial Classes Cont.

Which courses are you enrolled, or awaiting testing in?

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What are 5 words your teachers would use to describe you?(Required)

i.e. If you're no longer in the room, what would people say about you?

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Why Do you want to be an Odyssey Scholar?(Required)

Why do you want to be selected to participate in the Odyssey program? If you are a parent filling out an application for a younger student, simply type what your child dictates, as they say it.

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What do you hope to gain or improve during your time at Odyssey?(Required)

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What does community mean to you and how would you make changes in your community to improve it?(Required)

Instructions: Rising Grades 1-4 must write 3+ sentences. Rising Grades 5-7 must write 150+ words. Rising Grades 8-12 must write 250+ words.

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Disclaimer and Agreement:(Required)

I, the applicant, verify that the above work is my own and no one else's. I confirm that I am the author of my own essay, and have only pursued help for editing or ideas--not for content. Both the applicant and guardian understands that lying, cheating, and plagiarism are honor-code violations and a violation of Odyssey's rules. Both applicant and guardian understand that, if it is discovered that any work submitted in this application that is not the work of the applicant, the applicant will be disqualified from the selection process. Odyssey reserves the right to disqualify or rescind applicant invitations in the event unoriginal or plagiarized work is discovered.

Yes

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Introduction Video(Required)

Please read and then check the box below.

As soon as you submit this application, as a first-time student in rising grades 1 to 12, you will get an email with instructions on how to submit an introduction video about yourself, which you can create using a smartphone or other camera.

If you do not have access to a smartphone or camera, you can ask Odyssey or your school to help you record your video.

Please read that email and begin planning and creating your video, because the sooner you submit it, the sooner Odyssey will evaluate your application Videos must be submitted no later than the application deadline date stated in that email.

I have read the above video instructions

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Have you ever been suspended (in or out of school suspension)?(Required)

Yes

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How many suspensions have you received?(Required)

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Briefly explain the suspension:(Required)

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Optional:

Is there anything you'd like to add to help us get a better idea of who you are? You can include anything, including if you were a previous scholar, why you like to be challenged, or what your favorite pet's name is! We read them all with care.

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Applicant Agreement:(Required)

I am genuinely interested in being selected to participate in Odyssey 2022. If Odyssey gives me this opportunity, I understand that I am required to attend a 6 week (5 weeks for Odyssey High) intense academic summer program. I understand that I can only be absent three days each summer to remain active in the program. I understand that tardies and early pick up will affect my attendance status. I understand the participation and completion of my work is vital to my good standing in the program and failure to participate in class may affect my ability to return or participate in field trips or other outside-the-classroom activities.

Agree

Disagree

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How did you hear about Odyssey?

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Who Can Recommend You?

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Recommender(Required)

Who will complete your Student Recommendation Form?
Please name a school teacher or community leader by including their proper title and full name

Title First Last Suffix

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Recommender's Email(Required)

Provide the email address for the individual completing the student recommendation form. They will receive a secure link to complete the recommendation form within 14 days online. Odyssey does not accept outside or alternative recommendation letters.

Recommender's email Confirm Email

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Recommender Evaluation

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Your title or position

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School or Organization with which you are associated:

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How long have you known this applicant?

3-5 Months

6-9 Months

10 Months-1 Year

Between 1-2 Years

Between 2-3 Years

Between 3-4 Years

Between 4-5 Years

Between 5-6 Years

More than 6 Years

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Agree or Disagree-- Preparedness

This applicant comes to class prepared and ready to learn. This applicant completes their work on time and to the best of their ability.

Yes

Unsure

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Agree or Disagree-- Classroom Insight

This applicant has provided good and well-intentioned insight while in my care or in my classroom. This applicant interacts well with their peers, respects adults, and encourages enthusiasm for learning and participation.

Yes

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Agree or Disagree-- Enjoyment in Learning

This applicant enjoys learning and values education and the challenge it presents.

Yes

Other

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Agree or Disagree-- Physical Demands

This applicant is prepared to manage the physical and mental demands of Odyssey.

Yes

Other

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Agree or Disagree-- Seriousness

Do you sincerely believe this applicant will take Odyssey seriously? Odyssey provides each of our scholars with a substantial $2,500 scholarship each summer they attend. Will this applicant see Odyssey as a worthy investment to their future goals?

Yes

Other

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Agree or Disagree-- Priority

Do you sincerely believe this applicant can or will make Odyssey a priority?

Yes

Other

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Agree or Disagree-- Behavior

Does this student have any behavioral or academic concerns to which you are aware?

Quick to Anger

Poor Attendance

Does not work well in groups

Suspension

Poor classroom engagement

Inability to complete assignments

Poor academic management (i.e. lost or missing assignments, etc.)

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Coorperation: Please rate based on the following...

Is the applicant a good team member; works well with peers; accepts direction & listens to instructions; a sense of fairness.

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Communication Skills: Please rate based on the following...

Does the applicant listen & speak well; expresses thoughts clearly; participates in discussions; insightful.

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Relationship with Peers: Please rate based on the following...

The applicant relates well to males and females (indviduals from all backgrounds); accepts differences in opinion, style, & appearance.

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Judgement: Please rate based on the following...

The applicant makes good decisions; thinks things through; understands how his/her actions impact others.

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Dependability: Please rate based on the applicant based on following...

The applicant accepts responsibility; follows through with commitments; arrives on-time and when expected; trustworthy.

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Attitude: Please rate the applicant based on the following...

Respect for people and things; optimistic; manageable even when having a “bad” day; open to try new things.

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Relationships with Adults: Please rate the applicant based on the following...

Respects authority; seeks assistance as needed; honest; open to feedback.

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Steadiness/Maturity: Please rate the applicant based on the following...

Manages emotions well; appropriate sense of humor; use of language; can focus on tasks at hand; non-disruptive.

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Leadership Skills: Please rate based on the applicant based on following...

Expresses opinions diplomatically; able to provide positive direction & motivate others.

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Self-Respect: Please rate the applicant based on the following...

Respects other's property; cleans up after oneself; controls impulses; represents oneself well in front of others or when in public.

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Agree or Disagree-Intensity

Odyssey is an intense summer program where a large amount of material is covered each day. Will the student and the student's family be dedicated to a program like Odyssey and the level of participation it requires to succeed? i.e. A scholar cannot miss more than 3 days or risk their participation in the program.

Yes

Unsure

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Comparison

When compared to hundreds of nominees, this student is a deserving candidate:

Yes

Maybe

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Qualities

What qualities does the student possess that make him/her a good candidate for Odyssey? Please share a specific time that you have seen these qualities demonstrated.

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Contributions

Please list any contributions or leadership roles that test has taken in their community or school. You may add up to 6 contributions.

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Additional information or input you feel is important or necessary.

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Application Review Rating Form

This section is for the selection committee. Please review on a scale of 1-10. Assume each question begins with "This young person('s)..."

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Demonstrates financial need ($12,000-$15,000 or less per household member)

Financial Need

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Personal Expression

Expressed their ideas and opinions clearly

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Transcript

Transcript demonstrates student would benefit from Odyssey.

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Middle-Third

This child represents a student in the "middle-third" of their class? i.e. They predominantly make "Bs" or "Cs" or otherwise do well in some classes and do poorly in others. The "summer slide" would particularly negatively affect this child.

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Work Ethic

Behavior, work ethic/habits, and engagement as reported by school (on transcript or otherwise); as it relates to attention, respect, willingness to follow instructions

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Group Work and Verbal Skills

Applicant demonstrates ability to work in groups, take on challenges, and communicate effectively to peers.

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Extracurriculars

Participates in a variety of activities outside of class

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Empathy

Has an application/essay that demonstrates sensitivity towards the needs of others

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Has an application/essay that demonstrates honesty and self-reflection

Character

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Odyssey's Mission

Participation would add to Odyssey. Particpant would represent Odyssey well.

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Professional Recommendations

Has recommendations that support the personal qualities needed for Odyssey

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Challenge Seeker

Is capable of successfully embracing the challenges of this program

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Disciplinary Concerns

Applicant has reported disciplinary referrals

Yes

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Faith in Ability to Learn From Mistakes

Do you believe applicant has demonstrated they have learned from their disciplinary mistakes? Will Odyssey provide them with the added leadership skills to ensure behavioral correction in the future?

Yes

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Would the child benefit?

This child would benefit from Odyssey (scale of 1 to 10)

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Overall Application Score

On a scale of 1-10 please rate this OVERALL application on: thoughtfulness, organization, display (were the attachments neat), and presentation. Is this a completed project you would expect from someone in this age group?

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Video Link

First-time students

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Evaluator's recommendation

Do you, the evaluator, recommend this applicant for Odyssey?

Highly Recommend

Consider (i.e. wait-list to review again)

Not Recommended

Other

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Evaluator Notes

These notes are for internal use only and should not be shared with teachers, parents, or applicants. These notes should only relate to the application and the evaluator's opinion on the performance of the applicant as based on the above application.

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Director's Notes

**This field is for directors only, please do not write in unless you are a director***

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End of Evaluation

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First Time Participant Status

This field is completed automatically by the Workflow.

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Returning Participant Status

This field is completed automatically by the Workflow.

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Registration Fee Payment Plan

The field is completed automatically by the Workflow.

1 Payment

2 Payments

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Registration Fee Paid 1

This field is completed automatically by the Workflow.

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Registration Fee Paid 2

This field is completed automatically by the Workflow.

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Total Registration Fee Paid

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Timestamp

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Odyssey Dates

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Year for this Odyssey Application

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Application Deadline: Returning Student

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Application Deadline: First Time Student

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Payment Deadline: Returning Student

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Payment Deadline: First Time Student

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Classes: Start Date

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Classes: End Date Grades 1-6

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Classes: End Date Grades 7-8

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Classes: End Date Grades 9-11

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Classes: End Date Grade 12

Comments

This field is for validation purposes and should be left unchanged.