Student Enrollment Sample Form

New Student Enrollment Form
Date: _________________ School: _________________________
Date: _________________ School: _________________________
Has your family moved in order to work in another city, county, or state, in the last three (3) years? ___ Yes ___No
If so, what is the date your family arrived in the city/town you reside? ________________________________________
Has anyone in your immediate family been involved in one of the following occupations, either full or part-time or temporarily during the
last three (3) years? (Check all that apply)
__ Agriculture; planting/picking vegetables or fruits such as tomatoes, squash, grapes, onions, strawberries, blueberries, etc.
__ Planting, growing, or cutting trees (pulpwood)/raking pine straw __ Processing/packing agricultural products
__ Dairy/Poultry/Livestock __ Meatpacking/Meat processing/Seafood
__ Fishing or fish farms __ Other (Please specify occupation):___________________
PREVIOUS SCHOOL EXPERIENCE
Pre-School Experience:
None
Early Head Start
GA Lottery Funded Pre K
Title 1 Funded Pre- K
Special Education 3 yr olds
Special Education 4 yr olds
Private Pre-K
Other Pre K Program
High School Experience: Please identify the year the student first (1
st
) entered ninth grade:
Attended an Atlanta Public School before?
YES Date:______________
NO
Last School Attended in Atlanta Public Schools?
Previous School Attended (if not in Atlanta Public Schools):
Previous School Address (City/State/Zip Code):
Previous School Phone #: Grade Date of Withdrawal:
Is student currently suspended or pending expulsion from this school?
No
Yes
Has student been expelled from ANY school?
No
Yes
Reason for Suspension/Expulsion:
SIBLINGS ENROLLED IN APS
Sibling Last Name:
First Name: Birth Date: Gender:
Male
Female
Name of APS School where sibling
is currently enrolled:
Grade:
Sibling Last Name:
First Name: Birth Date: Gender:
Male
Female
Name of APS School where sibling
is currently enrolled:
Grade:
Sibling Last Name:
First Name: Birth Date: Gender:
Male
Female
Name of APS School where sibling
is currently enrolled:
Grade:
Sibling Last Name:
First Name: Birth Date: Gender:
Male
Female
Name of APS School where sibling
is currently enrolled:
Grade:
PARENT / LEGAL GUARDIAN INFORMATION
Student Lives With:
Both Parents
Mother only
Father only
Legal Guardian
Foster
Parent
Grandparent
Other:______________________________
(If other than parent, LEGAL documentation is required.)
A student should generally be withdrawn by the person who enrolls them. The parent/legal guardian who enrolled the student may provide the school
with written permission accompanied by a copy of the parent/guardian’s photo identification for another person to withdraw a child.
Household Address:
Apt #:
City: State: Zip:
Page 2/3
Free Download

Student Enrollment Sample Form PDF

Favor this template? Just fancy it by voting!
  •  
  •  
  •  
  •  
  •  
(0 Votes)
0.0
Related Forms
  •  
  •  
  •  
  •  
  •  
2 Page(s) | 988 Views | 8 Downloads
  •  
  •  
  •  
  •  
  •  
1 Page(s) | 825 Views | 23 Downloads
  •  
  •  
  •  
  •  
  •  
3 Page(s) | 2142 Views | 29 Downloads
  •  
  •  
  •  
  •  
  •  
4 Page(s) | 1422 Views | 4 Downloads
  •  
  •  
  •  
  •  
  •  
1 Page(s) | 650 Views | 9 Downloads