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Enrollment Form

1. STUDENT INFORMATION

Which term are you applying for?*
Answer Required

Please list the last two schools the student attended (elementary and middle school):

Student Ethinicty (information for statistical use only):

Is the student Hispanic or Latino?*
Answer Required
If no,
Answer Required
Student lives with (CHECK ALL THAT APPLY)*
Answer Required
Did this student receive special education services at his/her previous school? *
Answer Required
Did this student have an Individualized Education Plan (IEP) at their previous school?*
Answer Required
(If yes, please attach a copy of the student’s IEP)
Answer Required
or drag it here.
Did this student have a Section 504 Plan at the previous school?*
Answer Required
(If yes, please attach a copy of the student’s Section 504 Plan)
Answer Required
or drag it here.
Does the student have a Psychoeducational Report?*
Answer Required
(If yes, please attach a copy of the report)
Answer Required
or drag it here.
Has the student ever been convicted of a crime?*
Answer Required
(If yes, please attach additional documentation to this application)
Answer Required
or drag it here.
Is the student of probation/parole?*
Answer Required

2. COURT ORDERS

Are there any court orders restricting the legal rights of either parent?*
Answer Required
(If yes, please provide a copy of the court order as an attachment to this application)
Answer Required
or drag it here.

LICENSED CHILDREN’S INSTITUTION/FAMILY FOSTER HOME

Contact Information
Address
State
Answer Required

3. HOME LANGUAGE SURVEY

4. HOW DID YOU HEAR ABOUT OUR SCHOOL?

Please check all that apply:*
Answer Required
Confirmation Email