Newman Smith High School
Science/Engineering Pathway Application

You must reside in the Newman Smith attendance zone to apply.
Personal Data
(Please Print)
Name ________________ Date __________

Address_____________________________________________________

City ____________________________ TX Zip___________

Home Telephone (____)______________ Age ________ Birth date ___/____/______

Current School _____________________ Grade level____Student ID number ______________

Father’s Name ______________________________ Work phone (____) __________________

Father’s E-mail_________________________________________________________________

Mother’s Name ______________________________ Work phone (____)__________________

Mother’s E-mail________________________________________________________________

Completion and enclosure of the following items are mandatory for admission to the
Science/Engineering Pathway at Newman Smith High School. Please complete and return with
the following items to your counselor by Thursday, March 2, 2006.

• Application form
• Current report card
• Permanent record
• Attendance record
• Math Teacher recommendation (will be sent to counselor by math teacher)
• Science Teacher recommendation (will be sent to counselor by science teacher)
Check the academic areas of your interest (as many as apply to you)

_____ Biology _____Chemistry _____Geology
_____ Physics _____ Math _____ Computer science
_____ Others (list) _____________________________________________

Check the types of engineering fields that interest you (as many as needed)

__ Architectural
__ Automotive
__ Biomedical
__ Chemical
__ Civil
__ Computer Science
__ Electrical
___Environmental
__ Mechanical
__ Petroleum
__ Transportation

Other (list): ______________________