Enrollment Forms Packet (EFP)

Size: px
Start display at page:

Download "Enrollment Forms Packet (EFP)"

Transcription

1 Enrollment Forms Packet (EFP) Please review the information below. Based on your student(s) grade and applicable circumstances, you are required to submit documentation in order to complete this step in the enrollment process. You can fax, scan and , or mail the required paperwork. Important Note: Please send copies, do not mail the original documents Fax (preferred): Scan and Mail: Texas Virtual Academy 104 Industrial Blvd B-2 Sugarland, TX Required For? Item Description Provided by? Required for all Students Required for student with an IEP or other Special Education needs Required for students that have a 504 plan Proof of Age Official Birth Certificate (not the hospital issued certificate) Proof of Residency Immunization Record Current Utility bill showing service address OR Mortgage statement/rental contract including signature page OR recent tax statement Current Immunization Record Report Card The most recent Report Card Social Security Card Home Language Survey Migrant Student Survey Ethnicity Data Questionnaire Release of Records Withdrawal Intent Form IEP Evaluation Report 504 Accommodation Plan Please note do not send actual card, please submit a copy. Complete this form and submit. Complete this form and submit. Please write your student s name, as it was entered on the application. By filling out this form, you are giving our school permission to request your student s official records from their previous school after the approval process. If your child was Homeschooled please indicate it on the form, fill out the top portion and sign it. Complete this form and submit. A copy of your student s current IEP (Individualized Education Plan). Because the IEP expires yearly, please submit the current IEP. The Evaluation Report is valid for 3 years. If you do not have a copy of your student s ER, you can request a copy from your student s current school. A copy of your student s current 504 Accommodation Plan. Because the 504 expires yearly, please submit the current 504. Texas Virtual Southwest Enrollment Processing Center 104 Industrial Blvd, B-2 Sugar Land, TX Ph Fx v1.1

2 Texas Virtual Southwest Enrollment Processing Center 104 Industrial Blvd, B-2 Sugar Land, TX Ph Fx Release of Student Records Please accept this document as formal approval for the release of all official school records (including the record of transcripts, testing information, special education, health and immunization records). Student Information Student s Full Name: first middle last Student s Date of Birth: Student s Legal Address: street apt # city county state zip Home Phone: Homeschooled or Never Previously Enrolled in School (Fill out only if applicable) Check below if applicable: o Student was always previously homeschooled o Student is enrolling in Kindergarten Prior School Information Name of Prior School: School s Address: street city county state zip School s Phone: School s Fax: Sign and Date below Name of Parent or Legal Guardian: first last Parent/Guardian s Signature: Date: SCHOOL OFFICIALS ONLY: SCHOOL OFFICIALS ONLY: SCHOOL Send student OFFICIALS records ONLY: to: Send student records to: Send student records to: Texas Virtual Southwest 104 Industrial Blvd, B-2 Virginia Virtual Academy Washington Sugar Land, 2300 Corporate Virtual TX Academies Park Drive, Suite Herndon, McNeil Street, VA Suite 200 DuPont, WA Student s Name: Student s Home Phone:

3

4

5 Southwest School 3333 Bering Drive Houston, TX Phone HOME LANGUAGE SURVEY Home Language Survey Encuesta a Sobre el Idioma del Hogar (PK-12) Student's Name: School: Nombre del alumno Escuela Student s Address: Home Phone. Domicilio Telefono de Casa Date of Birth: Grade: ID: Fecha de nacimiento Month Day Year Mes Dia Ano The Texas Education Code requires schools to determine the language(s) spoken at home by each student in order to provide an appropriate program of instruction. Please answer the following questions to help place your child in the most appropriate instructional program. El Codigo de Educacion de Texas requiere que las escuelas determinen el idioma que se habla en el hogar para identificar o proporcionar la instruccion apropiada para cada estudiante. Por favor conteste las siguientes preguntas para que podamos ayudarle a su hijo(a) en el programa mas apropiado. Place of Birth (Country of Origin) Lugar de nacimiento del estudiante Date of initial entry into U.S. schools Fecha en que el estudiante empezo sus estudios en los Estados Unidos City/Ciudad Country/Pais Month/Mes Day/Ano Year/Ano Has your family moved within the last 36 months to seek or do temporary work? Se ha mudado usted o un miembro de su familia en los ultimos 36 meses para buscar o hacer trabajo temporal? Yes No Number of academic years completed in a U.S. school Nurnero de anos escolares que ha completado el estudiante en los Estados Unidos 1. What Language is spoken in your home most of the time? Cual idioma se habla en su hogar la mayoria del tempo? English Spanish Other (Specify) Ingles Espanol Otro (Favor de especifcar 2. What language does your child speak most of the time? Cual idioma habla su Hijo(a) la mayoria del tiempo? English Spanish Other (Specify) Ingles Espanol Otro (Favor de especifcar Parent or Guardian/Firma del Padre(s) o guardian Date/Fecha FOR OFFICE USE ONLY / Solo para el uso de la oficina Note to school personnel: 1. File original of the Home Language Survey (HLS) in student s folder. 2. Send copy of the Home Language Survey (HLS) to the Bilingual/ESL Coordinator on the day the student enrolls.

6 MIGRANT STUDENT SURVEY ENCUESTA PARA MIGRANTES Dear Parent, Your children may qualify for supplemental services at Southwest School if they meet certain qualifications. To help us, please answer the following questions. Sus ninos pueden ser elegibles para servicios educacionales suplementarios en su distrito escolar si tienen cietos requistos. Para ayudarnos, por favor, conteste las siquientes preguntas. Student s Name: 1. Has your family moved any time during the last three years from one school district to another in Texas or across the state? Yes No Ha cambiado de Distrito Escolar durante los años passados? 2. Were any of these moves made to find temporary or seasonal work in agriculture related to a job in packing, processing, harvesting, cultivating of crops, food processing, dairy work, forestry, fishing, etc? Yes No Estos cambios fueron para buscar trabajo temporal en cualquiera de las siguientes industrias como en agricultura. empacadora, procesando, cultivando, o levantando cosechas, etc. Tambion procesando comida, trabajo de lecheria, trabajo forestall, o trabajo de pesca? Yes No If you answered yes to question # 2, please complete the information below. Name of parent or guardian: Phone # Address/ city/ zip Si contesta si a la pregunta # 2, por favor complete la informacion siguiente. Nombre del padre o guardian: Telefono: Direccion: Also list names and ages of children who are not enrolled in school. Por favor escriba nombres y edades de su hijo/ a que no edtan en la escuela. Age Last Name First Name Middle Name (Edad) (Apellido (Nombre) Segundo nombre) Thank you (Gracias) PARENT S SIGNATURE: DATE: (Firma de los padres) (fecha)

7 WITHDRAWAL INTENT FORM If I, (parent/guardian) should decide that TXVA is not the appropriate place for my student, my preferred educational intent to school will be the following: Home School Private School *Name of Public School (if this is the choice, this information must be completed and is not optional): Address: Phone Number: *Responsibility for compliance with state attendance statutes and regulations belongs to the parents, but the school is obligated to keep an accurate record of daily attendance. By statute, if a student is not meeting the statutory requirements for public school attendance, the student is considered truant under TEC This statute defines truancy as: *not being in attendance 10 or more days within a six-month period and/or *not being in attendance 3 or more days within a 4-week period As a truant student: 1. The student's parent or legal guardian is subject to prosecution under Texas Education Code The student is subject to prosecution under Texas Education Code A fine of $ may be assessed. Print Parent/Guardian Name: Parent/Guardian Signature: Date: 104 Industrial Blvd, B-2, Sugar Land, TX 77478, Ph , Fx , SY

NEW STUDENT REGISTRATION REQUIREMENTS

NEW STUDENT REGISTRATION REQUIREMENTS Lovejoy Independent School District NEW STUDENT REGISTRATION REQUIREMENTS Student's First Name Middle Last Grade Before a parent/guardian of a new student is allowed access to complete the LISD online

More information

Preschool English Language Survey

Preschool English Language Survey Ventura County Special Education Local Plan Area SELPA Mary E. Samples, Assistant Superintendant www.venturacountyselpa.com Preschool Language Survey A tool for determining Language Development (ELD) level

More information

Portales Municipal School District. Bilingual Education Handbook

Portales Municipal School District. Bilingual Education Handbook Portales Municipal School District Bilingual Education Handbook Created October 2010 Revised July 2015 TABLE OF CONTENTS I. Introduction/ Vision/ Mission 3 II. Identification, Assessment and Placement

More information

What is the Migrant Education Program?

What is the Migrant Education Program? What is the Migrant Education Program? Title I, Part C Migrant Education Program (MEP) of the No Child Left Behind Act of 2001 supports high quality education programs for migratory children (ages 3-21)

More information

TIDEHAVEN INDEPENDENT SCHOOL DISTRICT ENGLISH AS A SECOND LANGUAGE PROGRAM. LARGO VIVE ESPAÑOL CONVERSACION mucho

TIDEHAVEN INDEPENDENT SCHOOL DISTRICT ENGLISH AS A SECOND LANGUAGE PROGRAM. LARGO VIVE ESPAÑOL CONVERSACION mucho TIDEHAVEN INDEPENDENT SCHOOL DISTRICT ENGLISH AS A SECOND LANGUAGE PROGRAM LARGO VIVE ESPAÑOL CONVERSACION mucho Updated 11/99 TIDEHAVEN INDEPENDENT SCHOOL DISTRICT ENGLISH as a SECOND LANGUAGE CAMPUS

More information

Special Programs. Extended Day/Week Tutorial Program Guidelines

Special Programs. Extended Day/Week Tutorial Program Guidelines 2013 2014 Special Programs Extended Day/Week Tutorial Program Guidelines In Brownsville ISD, every opportunity is extended to help our lowest achieving students become academically successful. In support

More information

Send your complete application via U.S. Mail to: Mrs. Annette Castillo, Principal

Send your complete application via U.S. Mail to: Mrs. Annette Castillo, Principal San Antonio Independent School District Mission Statement To graduate all of our students and prepare them for success in higher education. Fox Tech High School for Health and Law Professions Student Profile

More information

LOS ANGELES UNIFIED SCHOOL DISTRICT BULLETIN

LOS ANGELES UNIFIED SCHOOL DISTRICT BULLETIN TITLE: NUMBER: ISSUER: Parental Exception Waivers: Procedures and Guidelines for Requesting Alternative Programs for English Learners, K-12 Dr. Judy Elliot, Chief Academic Officer Instructional Services

More information

Colquitt County Schools Enrollment Packet. Request Forms Middle School

Colquitt County Schools Enrollment Packet. Request Forms Middle School Enrollment Packet Request Forms Middle School Statement of Objection to Use of Social Security Number for Student Identification Request I do not wish to provide the Social Security Number of my child/children.

More information

APS ELEMENTARY SCHOOL PLANNING SURVEY

APS ELEMENTARY SCHOOL PLANNING SURVEY ARLINGTON PUBLIC SCHOOLS PLANNING AND EVALUATION OFFICE APS ELEMENTARY SCHOOL PLANNING SURVEY SURVEY PROCESS & DATA SUMMARY PLANNING AND EV ALUATION O FFICE 1426 NORTH Q UINCY STREET A RLINGTON, VA 22207

More information

Application for Admission 2014-2015 School Year

Application for Admission 2014-2015 School Year Application for Admission 2014-2015 School Year Mail or deliver applications to: Admissions Office Cristo Rey Columbus High School 840 West State Street Columbus, Ohio 43222 Phone: (614) 223-9261 x 227

More information

LOS ANGELES UNIFIED SCHOOL DISTRICT BULLETIN

LOS ANGELES UNIFIED SCHOOL DISTRICT BULLETIN TITLE: NUMBER: ISSUER: Parental Exception Waivers: Procedures and Guidelines for Requesting Alternative Programs for English Learners, K-12 BUL-4153.1 Jaime R. Aquino, Ph.D. Deputy Superintendent of Instruction

More information

LOS ANGELES UNIFIED SCHOOL DISTRICT Policy Bulletin

LOS ANGELES UNIFIED SCHOOL DISTRICT Policy Bulletin Policy Bulletin TITLE: NUMBER: ISSUER: Procedures for Requests for Educationally Related Records of Students with or Suspected of Having Disabilities DATE: February 9, 2015 Sharyn Howell, Executive Director

More information

WORTH COUNTY SCHOOLS Registration Form

WORTH COUNTY SCHOOLS Registration Form STUDENT INFORMATION: Date: Child s Name/Nombre: Last First Middle Grade: Social Security No. (optional): Sex: Male Female Race: Black White Hispanic Asian Native Hawaiian/Pacific Islander American Indian/Alaskan

More information

CHALLENGE TO INSTRUCTIONAL AND LIBRARY MATERIAL

CHALLENGE TO INSTRUCTIONAL AND LIBRARY MATERIAL CHALLENGE TO INSTRUCTIONAL AND LIBRARY MATERIAL The final decision for instructional and library materials rests with the School Board. The following procedures will be used for challenges to Instructional

More information

MY CHILD HAS A MEDICAL CONDITION WHICH MAY REQUIRE ATTENTION AT SCHOOL (MEDIC ALERT)

MY CHILD HAS A MEDICAL CONDITION WHICH MAY REQUIRE ATTENTION AT SCHOOL (MEDIC ALERT) TILLAMOOK School District #9 Teacher: Grade: HEALTH QUESTIONAIRE STUDENT S NAME: BIRTHDATE: COUNTRY OF BIRTH: STUDENT S ADDRESS: PHONE: CELL: MY CHILD HAS A MEDICAL CONDITION WHICH MAY REQUIRE ATTENTION

More information

Application for Admission 2016-2017 School Year

Application for Admission 2016-2017 School Year Application for Admission 2016-2017 School Year Mail or deliver applications to: Admissions Office Cristo Rey Columbus High School 400 East Town Street Columbus, Ohio 43215 Phone: (614) 223-9261 x 12008

More information

LOS ANGELES UNIFIED SCHOOL DISTRICT POLICY BULLETIN

LOS ANGELES UNIFIED SCHOOL DISTRICT POLICY BULLETIN TITLE: NUMBER: ISSUER: Guidelines for the Use of Audiovisual Materials Not Owned, Broadcast, or Recommended by the District BUL-5210 Judy Elliott, Chief Academic Officer ROUTING Local District Superintendents

More information

Student Name: Grade: Full Name as listed on Birth Certificate (include Jr., III, IV, etc.) Physical Street Address: Street address, City, ZIP

Student Name: Grade: Full Name as listed on Birth Certificate (include Jr., III, IV, etc.) Physical Street Address: Street address, City, ZIP Office Use Only Date Enrolled: Homeroom Teacher: New Student Registration Form 2015 2016 STUDENT INFORMATION PLEASE PRINT Bus #: Run #: Locker #: Combination: Food Service Key Pad #: Family Access-Login:

More information

IDAHO STATE DEPARTMENT OF EDUCATION Title I-C: Migrant Family Liaison/Recruiter Interview Questions

IDAHO STATE DEPARTMENT OF EDUCATION Title I-C: Migrant Family Liaison/Recruiter Interview Questions IDAHO STATE DEPARTMENT OF EDUCATION Title I-C: Migrant Family Liaison/Recruiter Interview Questions District Name: Date of Interview: Name: SDE Title IC Reviewer: IDENTIFICATION & RECRUITMENT OF MIGRANT

More information

Enrollment Forms Packet (EFP)

Enrollment Forms Packet (EFP) Enrollment Forms Packet (EFP) Please review the information below. Based on r student(s) grade and applicable circumstances, are required to submit documentation in order to complete this step in the enrollment

More information

Student Name Nombre del Estudiante Grade/Grado School/Escuela. Relationship to student Relacion con el estudiante

Student Name Nombre del Estudiante Grade/Grado School/Escuela. Relationship to student Relacion con el estudiante LSNC Summer Camp 2015 Camper Enrollment Form This form must be completed and signed by the parent or guardian of a student enrolling in the Summer Camp STUDENT INFORMATION/INFORMACION DEL ESTUDIANTE Student

More information

Registration Requirements

Registration Requirements Registration Requirements You Will Need the Following for Registering: *Completed Enrollment packet for each student enrolling (Includes In-District Transfers)* 1. Parents/Guardians must be present and

More information

Impreso de Solicitud / Application Form

Impreso de Solicitud / Application Form Fotografía/ Photograph Impreso de Solicitud / Application Form Sistema Europeo de Transferencia de Créditos / European Credit Transfer System Datos del estudiante / Student s personal data Apellido 1 /

More information

LOS ANGELES UNIFIED SCHOOL DISTRICT REFERENCE GUIDE

LOS ANGELES UNIFIED SCHOOL DISTRICT REFERENCE GUIDE TITLE: NUMBER: ISSUER: Spring Semester 2014 Alternate Emergency Exercise Earl R. Perkins, Assistant Superintendent School Operations Office of the Superintendent ROUTING Instructional Superintendents Administrators

More information

PERSONAL INFORMATION / INFORMACIÓN GENERAL Last Name / Apellido Middle Name / Segundo Nombre Name / Nombre

PERSONAL INFORMATION / INFORMACIÓN GENERAL Last Name / Apellido Middle Name / Segundo Nombre Name / Nombre COMPUTER CLASS REGISTRATION FORM (Please Print Clearly Lea con cuidado) To register for the Computer Technology Program, please complete the following form. All fields in this form must be filled out in

More information

Johnson City Central School District 666 Reynolds Road Johnson City, NY 13790 www.jcschools.com

Johnson City Central School District 666 Reynolds Road Johnson City, NY 13790 www.jcschools.com Johnson City Central School District 666 Reynolds Road Johnson City, NY 13790 www.jcschools.com Educational Excellence for a Changing Tomorrow REGISTERING STUDENTS FOR SCHOOL A checklist of things to bring

More information

2013-2014 Application Package Instructions/Checklist

2013-2014 Application Package Instructions/Checklist 2013-2014 Application Package Instructions/Checklist Florida Virtual Academies Ph. 855.753.7143 Fx. 855.204.7670 http://www.k12.com/flva/ Based on your student(s) grade and applicable circumstances, complete

More information

ATLANTA INTERNATIONAL PHYSICAL THERAPY, INC.

ATLANTA INTERNATIONAL PHYSICAL THERAPY, INC. .Specwtlfczlkuj Ut Pedlfltric. physical, occ.upflt«>ithl, Speech Therapy sen/tees PATIENT INFORMATION Patient Name (Nombre del paciente] Date of Birth (Fecha de nacimiento] Address (Direccion] City [Cuidad]

More information

LOS ANGELES UNIFIED SCHOOL DISTRICT REFERENCE GUIDE

LOS ANGELES UNIFIED SCHOOL DISTRICT REFERENCE GUIDE TITLE: NUMBER: ISSUER: Service Completion Criteria for Speech Language Impairment (SLI) Eligibility and Language and Speech (LAS) Services REF-4568.1 DATE: August 24, 2015 Sharyn Howell, Associate Superintendent

More information

NEBO SCHOOL DISTRICT Programs and Information WINTER 2007

NEBO SCHOOL DISTRICT Programs and Information WINTER 2007 The following communities offer Community School Classes through Nebo School District. You may obtain additional information regarding classes being offered in any of these communities by calling your

More information

Summer Employment Application 2014

Summer Employment Application 2014 Summer Employment Application 2014 Thank you for your interest in the North Shore Youth Career Center s Summer Youth Program 2014. The next step in the process is to complete this application and include

More information

FREE Tutoring for your child!

FREE Tutoring for your child! Educational Services presents 2014-2015 FREE Tutoring for your child! If your child attends one of the following schools AND receives Free or Reduced priced meals they may be eligible for FREE Tutoring.

More information

Special Education Parent Survey RFP: Questions and Answers #1

Special Education Parent Survey RFP: Questions and Answers #1 Special Education Parent Survey RFP: Questions and Answers #1 (Any identifying information has been removed and/or reworded). 1. What is the distribution of participants by zip code? Will this only be

More information

FAMILIES 2014 SOTX INFORMATION GUIDE

FAMILIES 2014 SOTX INFORMATION GUIDE FAMILIES Families with children who have intellectual disabilities are like other families; however, having a child with special needs often thrusts them into situations that may make their everyday lives

More information

2015 2016 REGISTRATION PACKET

2015 2016 REGISTRATION PACKET 2015 2016 REGISTRATION PACKET Marie V. Duffy Elementary School Ms. Pamela S. Blalock Principal Pre-K 5th Grade Note: New Pre-K and Kindergarten students also need to complete a Parent s Rating questionary.

More information

LOS ANGELES UNIFIED SCHOOL DISTRICT REFERENCE GUIDE

LOS ANGELES UNIFIED SCHOOL DISTRICT REFERENCE GUIDE REFERENCE GUIDE TITLE: No Child Left Behind (NCLB): Qualifications for Teachers; Parent Notification Requirements and Right to Know Procedures, Annual Principal Certification Form ROUTING All Schools and

More information

MEDICATION RETRIEVAL FROM SCHOOLS

MEDICATION RETRIEVAL FROM SCHOOLS Directive to Administrators (Specify which administrators) WAD (Wednesday) Publication Date WAD Notice Number No. of Pages All Administrators WAD Title (Limit to 4-6 Words) May 6, 2015 Date Due (if applicable)

More information

WOODLAND SCHOOL DISTRICT 50

WOODLAND SCHOOL DISTRICT 50 WOODLAND SCHOOL DISTRICT 50 STUDENTS NEW TO DISTRICT 50 Before a child may register and attend our school, the following conditions must be met: You must be a resident of the district and provide two (2)

More information

Early Childhood Education Program

Early Childhood Education Program 6410 Carolina Beach Rd / Wilmington, NC 28412 Phone (910) 254-4340 or 4390 / Fax (910) 254-4117 Thank you for your interest in our program. This is the first step in the process of determining your child

More information

Northeast Community Schools English Language Learner Plan Fall, 2009

Northeast Community Schools English Language Learner Plan Fall, 2009 Northeast Community Schools English Language Learner Plan Fall, 2009 i DISTRICT ELL COORDINATOR The District ELL Coordinator for the Northeast Community School District is the Curriculum Director. IDENTIFICATION

More information

PATIENT'S INFORMATION REGISTRATION SHEET / INFORMACION DEL PACIENTE

PATIENT'S INFORMATION REGISTRATION SHEET / INFORMACION DEL PACIENTE DAN S. COHEN, M.D PATIENT'S INFORMATION REGISTRATION SHEET / INFORMACION DEL PACIENTE PLEASE PRINT CLEARLY / POR FAVOR ESCRIBA LEGIBLEMENTE TODAY S DATE / FECHA DE HOY: PATIENT'S NAME/NOMBRE DEL PACIENTE:

More information

Attachments A- ACS First Mailing (Initial Package)

Attachments A- ACS First Mailing (Initial Package) Attachments A- ACS First Mailing (Initial Package) Attachment A1 - ACS-13(L) (2015)(5-2015), ACS Introductory Letter Attachment A2 - ACS-34IM(08-08-2013), Internet Response Instruction Card Attachment

More information

East Aurora School District 131

East Aurora School District 131 East Aurora School District 131 Office of Centralized Registration Dear New District 131 Parent/Guardian, Welcome to Aurora East School District 131. Enclosed you will find your child s Registration Packet

More information

Student Signature Date Grade

Student Signature Date Grade DISD Parent/Student Acknowledgement of Cafeteria Services, Dress Code & Cell Phone Use Policies We have reviewed the Cafeteria Services statements, Student Dress Code Policy and the Student Cell Phone

More information

Benedictine College Financial Aid

Benedictine College Financial Aid 2015 2016 Institutional Verification Document V4 Dependent Your 2015 2016 Free Application for Federal Student Aid (FAFSA) was selected for review in a process called verification. The law says that before

More information

CA Dream Application References

CA Dream Application References CA Dream Application References 2014 California High School Counselor Workshop Guide Page 171 California Nonresident Tuition Exemption For Eligible California High School Graduates (The law passed by

More information

Trabuco Hills High School Registration Information for Incoming Students 2014-2015. Welcome to THHS

Trabuco Hills High School Registration Information for Incoming Students 2014-2015. Welcome to THHS Trabuco Hills High School Registration Information for Incoming Students 2014-2015 Welcome to THHS Step One: The following documents are required for all new student registration: 1. Two proofs of address

More information

REDETERMINATION BY MAIL PACKET

REDETERMINATION BY MAIL PACKET REDETERMINATION BY MAIL PACKET Dear Parent/Guardian: You have been selected to submit your childcare application by mail. Enclosed are all the forms you need to complete and sign. These forms are also

More information

THE FOUR AMBASSADORS ASSOCIATION, INC.

THE FOUR AMBASSADORS ASSOCIATION, INC. THE FOUR AMBASSADORS ASSOCIATION, INC. INSTRUCTIONS 1. Please complete the application in full. Be sure to fill in your name exactly as it should appear on the approval form. In order to expedite the approval

More information

Venezuela Official visa Application

Venezuela Official visa Application Venezuela Official visa Application Please enter your contact information Name: Email: Tel: Mobile: The latest date you need your passport returned in time for your travel: Venezuela official visa checklist

More information

Parent Full Name Relationship Nombre completo del padre. Phone: Work Ext. Cell/Other. Parent Full Name Relationship. Phone: Work Ext.

Parent Full Name Relationship Nombre completo del padre. Phone: Work Ext. Cell/Other. Parent Full Name Relationship. Phone: Work Ext. THE SCHOOL DISTRICT OF OSCEOLA COUNTY, FLORIDA STUDENT REGISTRATION / MATRÍCULA DEL ESTUDIANTE Please print, COMPLETE BOTH SIDES, then sign form. Por favor escriba en letra de molde, COMPLETE AMBOS LADOS,

More information

REMINDERS. Parent/Teacher Conferences-Thursday, February 12th Parent/Teacher Conferences-Monday, February 16th

REMINDERS. Parent/Teacher Conferences-Thursday, February 12th Parent/Teacher Conferences-Monday, February 16th 2015 REMINDERS No school-monday, February 16th No school-friday, February 27th Parent/Teacher Conferences-Thursday, February 12th Parent/Teacher Conferences-Monday, February 16th Book Fair-Thursday, February

More information

Ecuador Official visa Application

Ecuador Official visa Application Ecuador Official visa Application Please enter your contact information Name: Email: Tel: Mobile: The latest date you need your passport returned in time for your travel: Ecuador official visa checklist

More information

El Paso ISD. Cougar New Tech @ Franklin High School

El Paso ISD. Cougar New Tech @ Franklin High School El Paso ISD Cougar New Tech @ Franklin High School Dear Parents & Students, We are delighted that you have chosen to apply for admission at the Cougar New Tech Academy. New Tech Network (NTN) is a non-

More information

OFFICE OF COMMON INTEREST COMMUNITY OMBUDSMAN CIC#: DEPARTMENT OF JUSTICE

OFFICE OF COMMON INTEREST COMMUNITY OMBUDSMAN CIC#: DEPARTMENT OF JUSTICE RETURN THIS FORM TO: FOR OFFICIAL USE: (Devuelva Este Formulario a): (Para Uso Oficial) OFFICE OF COMMON INTEREST COMMUNITY OMBUDSMAN CIC#: DEPARTMENT OF JUSTICE (Caso No) STATE OF DELAWARE Investigator:

More information

THE ARC OF THE CENTRAL CHESAPEAKE REGION RESPITE CARE PROGRAM PROGRAMA PARA CUIDADO Y RESPIRO ANNUAL REGISTRATION FORM FORMA DE REGISTRACIÓN ANUAL

THE ARC OF THE CENTRAL CHESAPEAKE REGION RESPITE CARE PROGRAM PROGRAMA PARA CUIDADO Y RESPIRO ANNUAL REGISTRATION FORM FORMA DE REGISTRACIÓN ANUAL THE ARC OF THE CENTRAL CHESAPEAKE REGION RESPITE CARE PROGRAM PROGRAMA PARA CUIDADO Y RESPIRO ANNUAL REGISTRATION FORM FORMA DE REGISTRACIÓN ANUAL Name/Nombre: Date/Fecha: / / Date of Birth/Fecha de Nacimiento:

More information

SYCAMORE ELEMENTARY SCHOOL

SYCAMORE ELEMENTARY SCHOOL SYCAMORE ELEMENTARY SCHOOL Dear New Family, We are so excited that you ll be joining us at Sycamore Elementary School Attached are some of the documents that you will need to complete before your child

More information

List of Forms* Framework for the LPAC Process Manual

List of Forms* Framework for the LPAC Process Manual Section VI APPENDIX List of Forms* Framework for the LPAC Process Manual Section II Section III Section IV Section V Section VI LPAC Membership Forms LPAC Parent Membership Request Letter Solicitud de

More information

BONNIE WILKINSON ELEMENTARY SCHOOL REGISTRATION REQUIREMENTS

BONNIE WILKINSON ELEMENTARY SCHOOL REGISTRATION REQUIREMENTS BONNIE WILKINSON ELEMENTARY SCHOOL REGISTRATION REQUIREMENTS 2013~2014 THE FOLLOWING DOCUMENTS MUST BE PRESENTED AT THE TIME OF REGISTRATION 1. CHILD'S BIRTH CERTIFICATE- The child you are registering

More information

Summer Employment Application 2015

Summer Employment Application 2015 Summer Employment Application 2015 Thank you for your interest in the orth Shore Youth Career Center s Summer Youth Program 2015. If you are a youth age 14 to 21, the next step in the process is to complete

More information

FISD Field Study Guidelines and Procedures

FISD Field Study Guidelines and Procedures 600 South Bois d Arc * Forney, Texas 75126 * 972-564-4055 * Fax: 972-564-7007 * www.forneyisd.net FISD Field Study Guidelines and Procedures Note: FISD Field Study Request Forms must be submitted to the

More information

Monterey County Behavioral Health Policy and Procedure

Monterey County Behavioral Health Policy and Procedure Monterey County Behavioral Health Policy and Procedure 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 Policy Number 144 Policy Title Disclosure of Unlicensed Status for License

More information

New words to remember

New words to remember Finanza Toolbox Materials When you open a checking account you put money in the bank. Then you buy a book of checks from the bank. Using checks keeps you from having to carry cash with you. You can use

More information

PWB Management Corporation 3092 Hull Avenue, Bronx, NY 10467 Tel:(718) 519-6900 Fax: (718) 519-6904

PWB Management Corporation 3092 Hull Avenue, Bronx, NY 10467 Tel:(718) 519-6900 Fax: (718) 519-6904 PWB Management Corporation 3092 Hull Avenue, Bronx, NY 10467 Tel:(718) 519-6900 Fax: (718) 519-6904 Dear Applicant, Enclosed is our apartment application which must be totally completed prior to submission.

More information

Rockdale ISD New Student Registration

Rockdale ISD New Student Registration Rockdale ISD New Student Registration Welcome to Rockdale ISD! This packet contains the following ROCKDALE ISD FORMS that need to be completed for your child s registration: Student Registration Form Home

More information

Sixth & Eighth Grade Scholarship Letter Deadline April 15, 2013

Sixth & Eighth Grade Scholarship Letter Deadline April 15, 2013 2012-2013 CABE South County Chapter Officers School Co- Alain E. Garnica- Mendoza School Trustee - Sweetwater Union School Liaison Transforming Education for English Learners San Ysidro School Sixth &

More information

Application for World Wide Views on Climate and Energy Phoenix, AZ

Application for World Wide Views on Climate and Energy Phoenix, AZ Application for World Wide Views on Climate and Energy Phoenix, AZ Thank you for applying to be part of the Arizona deliberations for World Wide Views on Climate and Energy. To learn more about the global

More information

Venezuela Business visa Application

Venezuela Business visa Application Venezuela Business visa Application IMPORTANT: Please enter your contact information Name: Email: Tel: Mobile: The latest date you need your passport returned in time for your travel: Venezuela business

More information

THE CAMBRIDGE PROGRAM POTOMAC SENIOR HIGH SCHOOL CENTER FOR MATH AND PHYSICAL SCIENCES

THE CAMBRIDGE PROGRAM POTOMAC SENIOR HIGH SCHOOL CENTER FOR MATH AND PHYSICAL SCIENCES CENTER FOR MATH AND PHYSICAL SCIENCES Application Checklist : Student s Name: (print) 1. Complete the two-page application form and make sure that the student and parent/guardian both sign and date the

More information

North Shore Youth Career Center Summer Application Instructions

North Shore Youth Career Center Summer Application Instructions orth Shore Youth Career Center Summer Application Instructions Application All submitted summer application forms must be completed in full. They must include all required back up documentation. (All applicants

More information

School Handbook. Motivate, Educate, Graduate. www.greenwaysacademy.com/arizona

School Handbook. Motivate, Educate, Graduate. www.greenwaysacademy.com/arizona School Handbook Motivate, Educate, Graduate www.greenwaysacademy.com/arizona Table Of Contents: Mission 3 OSPI Approval Letter 4 ALE Laws and Required Paperwork 5 Required Forms 6-13 Registering Students

More information

DAMAR MEDICAL CENTER, INC

DAMAR MEDICAL CENTER, INC PATIENT INFORMATION TODAY S DATE: / / (INFORMACION DEL PACIENTE) MES/DIA /AÑO: / / PATIENT S NAME: NOMBRE Y APELLIDO: D.O.B.: / / FECHA DE NACIMIENTO / / ADDRESS: CITY: ZIP CODE DIRECCION CIUDAD: CODIGO

More information

FORMULARIO DE INSCRIPCIÓN

FORMULARIO DE INSCRIPCIÓN INFORMACIÓN PERSONAL PERSONAL DATA APELLIDOS / SURNAME MBRE / NAME FECHA DE NACIMIENTO (D/M/A) / BIRTHDATE (D/M/Y) NACIONALIDAD / CITIZENSHIP NÚMERO DE PASAPORTE / PASSPORT NUMBER HOMBRE / MALE MUJER /

More information

Enrollment Requirements

Enrollment Requirements Enrollment Requirements All students must have the following information in order to register in the Vail School District Immunization Records - Upon enrollment, Vail District schools require current immunization

More information

Log Ins. Site Student Teacher Username Password Username Password N/A N/A nicem5432 user created

Log Ins. Site Student Teacher Username Password Username Password N/A N/A nicem5432 user created Computer 1 Log Ins Sample Student! Ana Bryce! Student#: 123456! Password: Snake23! Sample School! Cost Center#: 0123! Sample Teacher! Mary Nicest! Munis ID#: 654321! Grouper Password: Ma12ni34! Munis/LEARN/Moodle

More information

SAN DIEGO UNIFIED SCHOOL DISTRICT

SAN DIEGO UNIFIED SCHOOL DISTRICT ADMINISTRATIVE CIRCULAR NO. 18 Office of Special Projects Date: September 18, 2015 SAN DIEGO UNIFIED SCHOOL DISTRICT To: Subject: Department and/or Persons Concerned: Due Date: Reference: Action Requested:

More information

* Teacher recommendation and/or approval required.

* Teacher recommendation and/or approval required. Rubén Darío Middle Community School Student Registration Form 2015-2016 Grade 7 Regular Program ESE Gifted ESOL 1 2 3 4 Reading FCAT Level (2014) Mathematics FCAT Level (2014) Name: I.D. # Seventh grade

More information

Family Support Network

Family Support Network Special Services for Special Families Web: www.familysupportnetworkca.org February 2016 Over the weekend of May 13, 14 and 15th Family Support Network and the Orange County community will be hosting its

More information

SUMMER PROGRAM APPLICATION

SUMMER PROGRAM APPLICATION www.iefl.org SUMMER PROGRAM APPLICATION LATINO STUDENT LEADERSHIP CONFERENCE July 29 August 3, 2012 ASTROCAMP IDYLLWILD, CALIFORNIA MAY BE DUPLICATED INLAND EMPIRE Dear Student: If you are an eighth- or

More information

NEW STUDENT REGISTRATION REQUIREMENTS

NEW STUDENT REGISTRATION REQUIREMENTS Lovejoy Independent School District NEW STUDENT REGISTRATION REQUIREMENTS Student First Name Middle Last Grade Before a parent/guardian of a new student is allowed access to complete the LISD online registration

More information

C o u n t y o f F a i r f a x, V i r g i n i a IMPORTANT

C o u n t y o f F a i r f a x, V i r g i n i a IMPORTANT C o u n t y o f F a i r f a x, V i r g i n i a To protect and enrich the quality of life for the people, neighborhoods and diverse communities of Fairfax County IMPORTANT Please use this as a checklist

More information

LOS ANGELES UNIFIED SCHOOL DISTRICT Policy Bulletin

LOS ANGELES UNIFIED SCHOOL DISTRICT Policy Bulletin TITLE: NUMBER: ISSUER: GUIDELINES FOR THE USE OF AUDIOVISUAL MATERIALS NOT OWNED, BROADCAST, OR RECOMMENDED BY THE DISTRICT BUL-1270 James Morris, Assistant Superintendent Instructional Support Services

More information

PERRIS UNION HIGH SCHOOL DISTRICT FREE Tutoring for your child!

PERRIS UNION HIGH SCHOOL DISTRICT FREE Tutoring for your child! PERRIS UNION HIGH SCHOOL DISTRICT 2016-2017 FREE Tutoring for your child! El Departamento de Servicios Educativos Dear Parent/Guardian: The Perris Union High School District is dedicated to ensuring that

More information

New words to remember

New words to remember Finanza Toolbox Materials Checking Accounts When you open a checking account you put money in the bank. Then you buy a book of checks from the bank. Using checks keeps you from having to carry cash with

More information

The Tiger Chronicles Volume 1 Issue 9

The Tiger Chronicles Volume 1 Issue 9 The Tiger Chronicles Volume 1 Issue 9 HARMONY SCIENCE ACADEMY JANUARY 28, 2014 Upcoming Events: Jan. 26 Jan. 30 National School Choice Week Feb. 7 STEM Festival Feb. 2 Feb. 6 STEM Week We are delighted

More information

2. Statement of Acknowledgment and Consent to Conditions of Trip (Adult not an employee of or student in the San Diego Unified School District)

2. Statement of Acknowledgment and Consent to Conditions of Trip (Adult not an employee of or student in the San Diego Unified School District) Office of the Superintendent FIELD TRIP PLANNING PACKET SINGLE DAY District Procedure No. 4585 Contents of packet 1. Site-Approval Checklist for Single-Day Field Trips 2. Statement of Acknowledgment and

More information

STUDENT REGISTRATION MAIL-IN FORMS COVER LETTER

STUDENT REGISTRATION MAIL-IN FORMS COVER LETTER STUDENT REGISTRATION MAIL-IN FORMS COVER LETTER Student Name: Last, First, Middle Parent/Guardian Name: Last, First Date of Birth: / / Phone: ( ) Address: Street, City, State, Zip MAIL-IN FORMS CHECK LIST

More information

CONSENT FOR CHARITY CARE ACKNOWLEDGEMENTS. Christ Clinic requires proof of income at your first appointment. Please bring 1 of the following:

CONSENT FOR CHARITY CARE ACKNOWLEDGEMENTS. Christ Clinic requires proof of income at your first appointment. Please bring 1 of the following: CONSENT FOR CHARITY CARE I,, acknowledge that the physicians and staff of Christ Clinic are volunteer health care providers and are not administering care for or in expectation of compensation. I also

More information

High School Common Application 2013-2014

High School Common Application 2013-2014 High School Common Application 2013-2014 KIPP Houston High School 10711 KIPP Way Drive Houston, TX 77099 Lara Wheatley, School Leader lwheatley@kipphouston.org (832) 328-1082 KIPP Sunnyside High School

More information

If you have any questions, please contact the Registrar, Carol Olszewski at:

If you have any questions, please contact the Registrar, Carol Olszewski at: La Costa Canyon High School One Maverick Way Carlsbad, CA 92009 Tel: (760) 436-6136 Fax: (760) 943-3539 Web: www.lcchs.com Principal Bryan Marcus Board of Trustees Joyce Dalessandro Barbara Groth Beth

More information

Open-Ended Responses. Parent Survey for schools. Question 1. What do you like best about our school? Response. Survey Open-Ended Responses.

Open-Ended Responses. Parent Survey for schools. Question 1. What do you like best about our school? Response. Survey Open-Ended Responses. Survey Open-Ended s Open-Ended s Parent Survey for schools Question 1. What do you like best about our school? s. The learning enviroment and the individual care for each child needs IB program the good

More information

Inscribase en Internet Nuestros productos de Seguros para estudiantes protegen a miles de nioos de los golpes y moretones de la infancia.

Inscribase en Internet Nuestros productos de Seguros para estudiantes protegen a miles de nioos de los golpes y moretones de la infancia. Enroll Online Our Student Insurance products protect thousands of kids from the bumps and bruises of growing up. K12 Accident and Health Plans available through your school: Injury and Sickness (available

More information

Please note that the print size cannot be smaller than the text in the document.

Please note that the print size cannot be smaller than the text in the document. Clarification for Civil Rights Non-Discrimination Statement There have been several questions about using the short version of the USDA nondiscrimination statement on NSLP and SBP menus. It is acceptable

More information

LOS ANGELES UNIFIED SCHOOL DISTRICT REFERENCE GUIDE

LOS ANGELES UNIFIED SCHOOL DISTRICT REFERENCE GUIDE TITLE: Environmental Health Advisory Procedures ROUTING All Schools and Offices NUMBER: ISSUER: Robert Laughton, Director Office of Environmental Health and Safety DATE: March 30, 2015 Thelma Meléndez,

More information

REDWOOD CITY SCHOOL DISTRICT Educa&ng Every Child For Success. Local Control Funding Formula (LCFF) Community Engagement Mee@ng

REDWOOD CITY SCHOOL DISTRICT Educa&ng Every Child For Success. Local Control Funding Formula (LCFF) Community Engagement Mee@ng REDWOOD CITY SCHOOL DISTRICT Educa&ng Every Child For Success Local Control Funding Formula (LCFF) Community Engagement Mee@ng 1 Purpose of Today s Mee@ng Redwood City School District (RCSD) cares about

More information

SALEM PUBLIC SCHOOLS SCHOOL HEALTH SERVICES MEDICAL INFORMATION SHEET

SALEM PUBLIC SCHOOLS SCHOOL HEALTH SERVICES MEDICAL INFORMATION SHEET SALEM PUBLIC SCHOOLS SCHOOL HEALTH SERVICES MEDICAL INFORMATION SHEET Student s Name: Date of birth: Parent/Guardian Name: Address: Phone: Cell: Parent/GuardianName: Address: Phone: Cell: Pediatrician:

More information

Programa de Cursos Intensivos de Inglés (CIDI) Verano 2015

Programa de Cursos Intensivos de Inglés (CIDI) Verano 2015 Programa de Cursos Intensivos de Inglés (CIDI) Verano 2015 Listado de seleccionados para participar en el Programa de Cursos Intensivos de Inglés (CIDI) Verano 2015 y universidades destino. Código Universidad

More information

Tourist Visa Application Form

Tourist Visa Application Form Introduction Tourist Visa Application Form This document contains the official visa application form issued by the Immigration and Naturalization Services of Costa Rica (Direccion General de Migracion)

More information