2013-2014 Enrollment Application
 
STUDENT  INFORMATION Student’s Full Legal Name:
First:                                                                                                     Middle:                                                                                       Last:
Date of Birth:                                                                       Age:                                                        Gender:    M    F              

Race: African American         Caucasian         Hispanic       Asian        Native American      Pacific Islander   Other

Grade for Fall 2013:   

PREVIOUS SCHOOL INFORMATION
 
School Name:
 
Address:                                                                                                                                                                                 
 
City:                                                                                   State:                                                                         Phone:

Does your child have any diagnosed or suspected learning disabilities or special education requirements?      
Yes     No
 
If yes, please explain:
 

Student Information for School Promotions:  All of The New Standard students have access to the internet through school-supervised computer usage.  Please check the box of your preference to access to the internet.  Please refer to the school’s Acceptable Use Policy pertaining to computers and the internet. 

□I give permission for my child to have school supervised internet access       □ I do not give permission for my child to have school-supervised internet access

SIBBLINGS ENROLLED AT THE NEW STANDARD:
 
Name:                                                                                   Grade:                                Name:                                                                           Grade:
 
Name:                                                                                   Grade:                                Name:                                                                           Grade:
 
Name:                                                                                   Grade:                                Name:                                                                           Grade:
 
PARENT CONTACT:
 
Mother’s Name:                                                                                              
 
Address:                                                                                                                                   City:                                         Zip Code:
 
Home Phone:                                                                                Cell Phone:                                                                   Alternate Phone:         
 
Father’s Name:
 
Address:                                                                                                                                   City:                                         Zip Code:
 
Home Phone:                                                                               Cell Phone:                                                                   Alternate Phone: Student resides with: Both Parents               Mother            Father           Grandparent        Guardian               Foster Parent
 
EMERGENCY CONTACT(S):
 
Name:                                                                                                               Phone:                                                 Relation to Student:                              
 
Name:                                                                                                              Phone:                                                 Relation to Student:
 
Name:                                                                                                               Phone:                                                 Relation to Student:                              
 
 
Parent Signature:                                                                                                                                                           Date: