Block MV Application
2023-2024

MIND | | | | | | | | BODY | | | | | |
Academic Performance (4 Items per semester) | Q1 | Q2 | Teacher Initials | Q3 | Q4 | Teacher Initials | | Activity (5th/6th Graders Need 2 Items & 4th Graders Need 1 Item per semester) | Q1 | Q2 | Teacher Initials | Q3 | Q4 | Teacher Initials
Principal's Honor Roll (4.0) | | | | | | | | PFA Healthy Fitness Zone | | | | | |
Honor Roll (3.0-3.99) | | | | | | | | Superintendent's Fitness Award | | | | | |
Math Fact Mastery | | | | | | | | Football (5th/6th Grades) | | | | | |
Principal's Math All-Star | | | | | | | | Girls Volleyball (5th/6th Grades) | | | | | |
Hungry Bear Reader Award | | | | | | | | Cross County (4th/5th/6th Grades) | | | | | |
Sparthenian Reader Award | | | | | | | | Basketball (5th/6th Grades) | | | | | |
Essay Contest | | | | | | | | Wrestling (4th/5th/6th Grades) | | | | | |
i-Ready Math Typical Growth | 50% of Target | | 100% of Target | | | Baseball (5th/6th Grades) | | | | | |
i-Ready Math Stretch Growth | 33% of Target | | 66% of Target | | | Boys Volleyball (5th/6th Grades) | | | | | |
i-Ready Reading Typical Growth | 50% of Target | | 100% of Target | | | Softball (5th/6th Grades) | | | | | |
i-Ready Reading Stretch Growth | 33% of Target | | 66% of Target | | | Track (4th/5th/6th Grades) | | | | | |
History Day | | | | | | Varsity Cheer (4th/5th/6th Grades) | | | | | |
Spelling Bee | | | | | | Competition Cheer (4th/5th/6th Grades) | | | | | |
Chess Club | | | | | | TOTAL ACTIVITY POINTS | | | | | |
GATE | | | | | | | | | | | |
Destination Imagination | | | | | | | | | | | |
TOTAL ACADEMIC PERFORMANCE POINTS | | | | | | | | | | | | | |
Character (2 Items per semester) | Q1 | Q2 | Teacher Initials | Q3 | Q4 | Teacher Initials | | SPIRIT | Q1 | Q2 | Teacher Initials | Q3 | Q4 | Teacher Initials
Golden Bear Award | | | | | | | | Spirit (3 Items per semester) | | | | | |
Broncomania Character Award | | | | | | | | Run for Student Council | | | | | |
Character of the Month Award | | | | | | | | Student Council Office | | | | | |
PBIS Reward | | | | | | | | KOPs Monitor | | | | | |
TOTAL CHARACTER POINTS | | | | | | | | Kid Nation (regular attendance of 90%) | | | | | |
Performing Arts (2 Items per semester) | | | | | | | | Library Apprentice | | | | | |
Band/Choir/Orchestra (Must attend performance & S or O on report card) | | | | | | | | Peer Mediation | | | |
4th Grade Music (Must attend performance & S or O on report card) | | | | | | | | Trash Crew | | | | | |
Poster Contest | | | | | | | | Care Bears Club | | | | | |
Drama | | | | | | | | Lunch Helper | | | | | |
Oral Interpretation | | | | | | | | TOTAL SPIRIT POINTS | | | | | |
Art Contest | | | | | | | | Community Involvement /School Service (1 service point per semester) | | | | | |
TOTAL PERFORMING ARTS POINTS | | | | | | | | Community Service Organization	*Attach both required forms | | | | | |
SEMESTER TOTALS | Semester 1 | Teacher Initials | Semester 2 | Teacher Initials | | | | TOTAL COMMUNITY INVOLVEMENT POINTS | | | | | |
Mind | | | | | | | | | | | | | | |
Academic and Performance | | | | | | | | | | | | | | |
Character | | | | | | | | | | | | | | |
Performing Arts | | | | | | | | | | | | | | |
Body | | | | | | | | | | | | | | |
Activity | | | | | | | | | | | | | | |
Spirit | | | | | | | | | | | | | | |
Spirit | | | | | | | | | | | | | | |
Communiy Involvement | | | | | | | | | | | | | | |
General Requirements | | By signing below, I certify that the above is true and accurate: |
Personal Conduct: Any student who is suspended or receives more than one "Major" conduct referral shall not be eligible for Block MV. | Student Signature: | Parent Signature: | Teacher Signature:
Verfication: Students must complete the season or activity in good standing to earn points. The teacher or coach of record will verify the application. | Office Signature: | Approved for Block MV Award | Semester 1 | Yes/No | Semester 2 | Yes/No