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: