ECO Application

 

Application should be mailed to:

 

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.

  

_________________________________________________________________________________________________________

student’s signature                                                                                      parent/guardian’s signature