2017-2018 FMSMS Application
Questions: Phone: 803.635.4607 ext. 10318 Fax: 803.635.4520 Email:
[email protected]
1. APPLICANT INFORMATION Student’s Name: ______________________________________________________________________________________________ Last
First
Mailing Address: (if different than residence address) Street Address_________________________________ City __________________ Zip Code __________ Grade level for 2017-18 school year: _______ School Currently Attending: FES GES KME MLST OTHER ___________________ (List Name of School) Zoned School (if different from school attending): FES GES KME MLST
Residence Address: Street Address_________________________________ City __________________ Zip Code __________
Gender: ___F ___ M
Birthdate: ______/_______/______ Month
Day
Middle
Year
2. PARENT/GUARDIAN INFORMATION Parent/Guardian Name: ____________________________________________________________________________________ Last
First
Phone: HOME______________ WORK _______________
Middle
CELL _____________ EMAIL ADDRESS: _____________________________
Parent/Guardian Name: _____________________________________________________________________________________ Last
First
Phone: HOME________________ WORK _______________
Middle
CELL _____________ EMAIL ADDRESS: _____________________________
3. HAS STUDENT BEEN PREVIOUSLY ENROLLED AT FMSMS? Yes
No
If YES, grade level of attendance at FMSMS: _______
4. MAGNET SCHOOL REQUIREMENTS (PLEASE CHECK) I understand that my child must maintain a “C” average in English Language Arts, Mathematics, Science, and Social Studies to maintain enrollment. I understand that as a parent, I am encouraged to attend at least 95% of all school activities (i.e. parent conferences, PTO Meetings).
I understand that my child is required to wear a uniform as specified by the school. (Uniforms are provided by the parent.) 5. SPECIAL SERVICES Speech
Resource
(PLEASE CHECK SERVICES YOUR CHILD IS RECEIVING)
504 Plan
ESOL
Other
None
Students with IEP’s must meet with the Special Education Staff before enrollment to review IEP to determine if the school model meets the services required.
PARENT SIGNATURE: Parent Signature ____________________________________
Date____________________ ______
2017-2018 SCHOOL YEAR APPLICATION DEADLINE: February 16, 2017 at 4:00 PM This application must be filled out completely and accurately by a parent with custodial authority or by a legal guardian. New students entering the district must register and be approved by the District Registrar before completing a magnet school application. Incomplete applications will not be processed. Please return directly to FMSMS, or to the attention of The Fairfield County School District, Dr. Jennifer Etheridge, Director of Special Projects, 1226 Hwy 321 By-Pass South, P.O. Drawer 622, Winnsboro, SC 29180. A separate application must be submitted for each child in the family.
