Which language does your child usually speak? English
Federal Race/Ethnicity categories required by No Child Left Behind. Complete Parts A and B: Part A – Check ONLY one: No, not Hispanic/Latino Yes, Hispanic/Latino Part B – Check ALL that apply: American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander White
Country of Birth: If born outside of USA: Date of entry to USA: ___________________________________________________________ Date of first enrollment in USA School: _________________________________________ Has this student completed three or more years of school in the USA? Yes No
Additional Student Information (Optional) Is this student:
Does your child receive any services in the following areas? Check all that apply:
Homeless
Special Education - Individual Education Plan (IEP)
Ward of the State
ADA Section 504 Plan
Immigrant
Title-I
Foreign Exchange
English Learner (EL)
Military-Connected
Gifted/Talented
Youth
Other__________________________________________________________________________________ Please Complete and Sign Back of Form Lakeville Area Public Schools ISD #194 • Student Information Services • Revised 4.30.2015
Primary Household
Date Moved In:
Address:
City:
State: Zip:
Primary Household Adult 1 Last Name:
First Name:
Middle Name:
Relationship to Student:
Other Phone:
Male Female
Cell Work
Date of Birth:
E-mail Address:
Primary Household Adult 2 Last Name:
Gender:
First Name:
Middle Name:
Relationship to Student:
Home Phone:
Gender:
Other Phone:
Male Female
Cell Work
Date of Birth:
E-mail Address:
Other Children/Members in Primary Household Last Name:
I hereby verify that the above information is true and correct to the best of my knowledge and belief. I understand that completing this form enrolls my student in the Lakeville Area Public Schools and grants permission to obtain all student records pertaining to my child.
Parent/Guardian Signature:
Date:
EXPLANATION OF PRIVATE INFORMATION REQUESTED ON THIS FORM In accordance with the Federal Data Privacy Act of 1974 and the State of Minnesota Privacy Law, you are not required to provide the information noted with an asterisk (*). There will be no adverse affect on you or your student if you do not choose to provide it. However, your cooperation in providing this information will ensure its accuracy and help to facilitate equitable educational opportunities for all students. Be assured that we will use the information in a manner that respects the privacy of our students and families. *Home Primary Language: In order to assist school districts to provide equal opportunity for a meaningful education to all students, Minnesota law requires that schools count and report the primary language of their students. * Racial/Ethnic Background: This information is needed to comply with state and federal reporting requirements relating to equity in education. Your cooperation in providing this information will ensure that we have accurate data on your child. Lakeville Area Public Schools ISD #194 • Student Information Services • Revised 4.30.2015
Lakeville Area Public Schools Student Enrollment Form
Lakeville Area Public Schools ISD #194 ⢠Student Information Services ⢠Revised .... I hereby verify that the above information is true and correct to the best of my ...
Lakeville Area Public Schools ISD #194 ⢠Student Information Services ... been completed and sent to Student Services? ... Part B â Check ALL that apply:.
Nov 23, 2015 - layout step outs, and handstands. This class will appeal to those dancers ... Email Gymnastics Coordinator at [email protected] or call ...
II. GENERAL STATEMENT OF POLICY. It shall be the policy of District 194 to make available for sale to the public an annual activities pass. It shall also be the ...
The purpose of this policy is to impart to students, employees, and the community the. District's policy related to the cost of admission to student activities. II.
Sep 1, 2015 - Join us as we celebrate apple season in Minnesota! We will cook up a variety of apple recipes and focus on apple themed stories. September ...
Sep 1, 2015 - Zone separately. ⢠Small Wonders registration info, call 952-232-3001. ... Crystal Lake Education Center (CLEC) located at. 16250 Ipava ...
Apr 23, 2013 - Physical or verbal threats including, but not limited to, the staging or reporting of ..... Ch. 13 (Minnesota Government Data Practices Act). Minn.
2. Membership on national, state, and local committees involved with licensure, ... Section 122A.09 (http://www.revisor.leg.state.mn.us/stats/122A/09.html).
Work experience in business and industry appropriate to field of licensure. MN BOARD OF TEACHING ... decision-making. District-level collaboration in deciding ...
D. Use of school district facilities or equipment for personal business or ... C. Lakeville athletic groups hosting summer camps shall pay a Summer Camp Fee per ...
Local non-profit adult groups (except for adult non-profit groups in Class 2), .... Lakeville athletic groups hosting summer camps shall pay a Summer Camp Fee ...
Local non-profit adult groups (except for adult non-profit groups in Class 2), ... C. Lakeville athletic groups hosting summer camps shall pay a Summer Camp Fee ...
Registration Form. SOHDVH XVH EODFN LQN ... ties, District publications, District promotions and on the District Web sites. Participant/Parent/Guardian ...
Dec 14, 2017 - The District is required to follow the Alberta âSchool Actâ, RSA 2000, c S-3, respecting enrollment of students in District .... entitled to have access to an education program under the âSchool Actâ without regard to whether .
Private Health Service Plan Enrollment Form ... Incorporated Business? ... Administration Inc. (The Heritage) establishes and manages a Private Health Services ...
It is a pleasure to welcome you to North Huron School District. I am delighted that you have selected. our district for your child and am confident that he/she will ...
Name of Primary Parent/Guardian Residing in the Home: Relationship: Father Mother Legal Guardian. Employer: Work Phone with area code: Cell Phone with ...
Homeless Questionairre (if applicable) ... Birth Certificate or valid passport if not born in the United States. Official ... Male Female Birth Date Grade Entering Multiple Birth Status: Single Twin Triplet ... Student Enrollment Form 2015-2016.pdf.
signature on the Weekly Order Pickup List indicates you have received your ... 7) You must sign a WAIVER OF RESPONSIBILITY form before certificates will be ...
Campsite hotel/motel single family dwelling other. Car shelter temporarily living with another family member or friend. Parent/Legal Guardian Signature.
All fields are required. Please contact ... Please send all invoices to c/o Iron ... F: Invoice should include a total of all goods and services and applicable VAT.
Processing Time: Requests received during regular business hours will be processed within 48 hours except during peak times. Peak times are the ... Student ID #:. Telephone: Email: Current Status: â¡ Current Student. â¡ Graduate. â¡ Previously Att