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ECO Application

Marcus Whitman ECO Program 2020-2021
Application for Grade Six
 
Application should be mailed to:
Marcus Whitman District Office
Attn: ECO
4100 Baldwin Rd.
Rushville, NY 14544
 
Application is due by Tuesday, June 2, 2020
 
Student’s name: __________________________________________________                                         
Address:__________________________________________________________
Telephone number: (             )______________________________________                                                                          Name of Parent/Guardian:_______________________________________________ 
Email address: _______________________________________________________                                                                  Current grade level: ___________  Current school and teacher: ____________                                                             
Date of birth: _____________  Gender:  _____________                                                            
Does the student live in the Marcus Whitman Central School District? Yes / No
 
We recognize that participation in the Marcus Whitman ECO Program requires a special commitment by the student and parent requiring student and parental participation in a school day that usually ends at 3 p.m., occasional school activities/meetings beyond the regular day, student participation in strenuous outdoor activities throughout the year, proper clothing for various activities, and daily academic rigor and preparation. We agree to meet this responsibility.
  
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student’s signature                                                                                      parent/guardian’s signature