DATE:	June 14, 2021

TO:	2021/2022 SENIORS

FROM:	The Academy of Education and Technical Services.

RE:	Student Parking

Approximately 50 parking spaces are available in the Horlick parking lot. The questions below are intended to gather some basic information. Priority will be given to students with good standing.

If you are interested in being considered for a parking permit, please read and fill out your portion.

1. Parking in the Horlick lot is by permit only, and the permit must be visible when parked in the lot .

2. There is a $90.00 fee for the parking permit. Once approved, this can be paid online (https://racine.revtrak.net/) or at Horlick in the Academy of Education and Technical Services.

Rules have been developed for student parking (example: no loitering around automobiles, you can’t not park in other students' spots, especially if yours is taken, pickup all trash etc.) Students receiving permits to park in our lot must adhere to the rules. Failure to follow these rules may result in a parking ticket from the Racine Police Department, and forfeiture of your pass.

Please complete the information below and return it to joan.firtko@rusd.org in the Academy of Education and Technical Services. The deadline for turning in your application is June 23rd. Once approved, you will be notified by email.

A copy of your Motor Vehicle Registration for the automobile you will be driving will need to be turned in at the time you pick-up your parking permit.

Name Click or tap here to enter text. Advisory Click or tap here to enter text.

Class Year Click or tap here to enter text. Student email address Click or tap here to enter text.

Make, Model and Color of the car; along with the license plate # Click or tap here to enter text.

How many days per week do/will you drive to school on an average? Click or tap here to enter text.

Do you car-pool? ☐ Yes ☐ No If yes, with how many people Click or tap here to enter text.

List all Co-op, clubs, and other extra-curricular activities that you participate in that require your attendance before and/or after school Click or tap here to enter text.

Student Electronic Signature___________________________ Parent Electronic Signature___________________________

OFFICE USE ONLY

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Cumulative GPA _________ Credits__________	Date

Attendance Record –circle one: #unexcused absences (each period) all year

Excellent (1-15) Good (15-30) Fair (30-45) Poor (45+) Verified _______

Academy Office _________________________________________

Academy Secretary’s Signature