2940 Waukegan Street, Auburn Hills, MI 48326 Phone: (248) 537-6039 * Fax: (248) 537-6074
Avondale School District Kindergarten Enrollment Requirements Welcome to the Avondale School District. It is our desire that your family’s experience with Avondale will be one of fulfillment, enrichment and exceptional opportunities. Below is a checklist of the required documents and information necessary to complete the student enrollment process for your kindergartener. Because of the numerous state and local reporting guidelines, this process can be a time-consuming and paper intensive process. It is our hope that by providing you with this checklist the experience will be less cumbersome. Once you have completed the enrollment application form, and gathered the required documentation, you need to contact our enrollment office at 248-537-6039 to schedule an appointment. During the enrollment appointment, staff will review your student’s enrollment materials and discuss any further documentation needs based on your unique circumstances. The enrollment process must be completed in person by a parent or legal guardian.
Required Enrollment Forms: Student Enrollment Form
Required Student Documents: Original birth certificate (with raised seal) Official immunization records Health Appraisal Vision Screening
Required Legal Documents: Certified copies of court orders or placement papers, if applicable (ex. Appointment of Legal Guardianship, Divorce Decree, etc.)
Proof of Residency: Driver’s license of Parent/Legal Guardian with current address Homeowner: Recent property tax or assessment statement OR Rentor: Current lease/rental agreement AND Two different current utility bills (with the name and Avondale address of the person enrolling the student) or verification of service from company;
FOR PARENT(S) OR LEGAL GUARDIAN(S) WHO ARE RESIDING WITH AN AVONDALE RESIDENT AND NOT LEASING OR PURCHASING A HOME: Notarized Annual Affidavit of Residency for Student Enrollment Form All required documentation indicated on the form Avondale School District Enrollment Packets may be obtained from any of our buildings or found on our web site at www.avondaleschools.org under the Enrollment tab.
Welcome to Avondale! 09/13/16
STUDENT ENROLLMENT FORM 2940 Waukegan Street, Auburn Hills, MI 48326 * 248-537-6039 * Fax: 248-537-6074 My child has previously been enrolled in Avondale Schools: Yes No Why have you chosen to move into or back to Avondale Schools? _____________________ Multiple Birth Status: Single Twin Triplet Other ____________
Enrollment Date: _____________________
Child’s Legal Name: _____________________________________________________________________________________ (as shown on birth certificate)
Last
First
Ethnicity Is this student Hispanic/Latino? (choose only one) No, not Hispanic/Latino Yes, Hispanic/Latino (A person of Cuban, Mexican, Puerto Rican, South of Central American, or other Spanish culture of origin, regardless of race)
Middle
Male
Female
Race The question to the left is about ethnicity, not race. No matter what you selected, please continue to answer the following by marking one or more boxes to include what you consider your students race to be.
American Indian/Alaska Native Native Hawaiian/Pacific Islander
Asian American Black/African American
White
Address: __________________________________________________________________________________________________________________ Number
Street
P.O. Box/Apt. #
City
State
Zip
Home Phone: ________________________ Birth Date: ____________________ Birth Place: _____________________________________________ Unlisted
Month/Date/Year
City
State
Zip
School Last Attended: _______________________________________________________________________________________________________ Name
Street Address
Does your child require medication during school hours?
Yes
City
State
Zip
No
If yes, written orders signed by your physician on a form provided by the school office must be presented to the school principal.
Does your child have any specific health problems such as diabetes, seizures, asthma, severe food or bee allergy? Yes No If yes, please specify health problem and treatment necessary. ________________________________________________________________________________________________________________________________________________________________________________________
Please check any services your child has received: None 504 Plan Accommodations Title I/At Risk Support Speech/Language Special Education Service Title III/ESL Support Is your child’s native tongue a language other than English? Yes No Is the primary language used in your child’s home or environment a language other than English? Yes No If yes, what is the primary language?_______________________ If yes, what date did the child enter the US? ______/_______/______ month day year “Primary Language” means the first or main language used by a person for communication Child lives with: Father Mother Both Parents Name of Primary Parent/Guardian Residing in the Home:
Joint Custody
Foster Care
Legal Guardian
Grandparent
Employer:
Other Cell Phone with area code:
Work Phone with area code: Email Address: Relationship:
Father
Mother
Legal Guardian Employer:
Name of Primary Parent/Guardian Residing in the Home:
Cell Phone with area code:
Work Phone with area code Relationship:
Father
Mother
Legal Guardian
Parent Living Elsewhere: Name
Relationship:
Father
Mother
Mailings Address:
Yes
Cell Phone with area code:
No
Legal Guardian
Custody Restrictions:
Have custody papers been provided to the district?
Yes
No
Other children in family living at this residence:
______________________________________________________ Name
Birth date/Grade
______________________________________________________ Name
Birth date/Grade
________________________________________________________________ Parent/Legal Guardian Signature
FOR OFFICE USE ONLY: Birth Certificate
Grade _______
Immunization Record
Current Property Tax &
Deed OR
Auburn
Health/Vision (K)
Lease &
_____________________________________________________ Name
Birth date/Grade
_____________________________________________________ Name
Birth date/Grade
__________________________________
Deerfield
Date
Graham
Last Report Card/Transcripts
Landlord Form AND
Woodland
Driver’s License
2 Different Current Utility Bills
AMS
AHS
District Release
Records Request
Affidavit Form and Documents
UIC# _____________________________ Student # ________________________ Signature: ________________________________________ Date: ______________ 02/12
