SCHOOL CHOICE REQUEST for Non-residents of Pittsfield IMPORTANT: Students who want to enroll in Vocational Technical Education must apply through the CVTE Office (448-9601) by April 1 and should not submit a School Choice Request. Applications are accepted after January 1. Deadline for September entry is May 1. Applications received after May 1 will be reviewed on a rolling basis. Seats are currently available for students choosing to opt into the Pittsfield Public Schools. Interested Parents/Guardians: Complete this form and return it to the following office. Office of the Deputy Superintendent Pittsfield Public Schools 269 First Street, Pittsfield, MA 01201
Telephone: 413-499-9510 FAX: 413-448-2643
Name of Parent/Guardian: Home Address: Mailing Address: City and Zip Code: Provide One or Two Reliable Phone Numbers: Name of Student: Date of Birth:
Current Grade Level of Child:
Grade of Child at Time of Requested Entry into Pittsfield Public Schools: Cluster or Academic Program of Interest: School child is CURRENTLY ATTENDING: Please list school preferences in order: 1. 2.
3.
Transportation of School Choice students is the responsibility of the parent or guardian. Provide the reason for requesting School Choice into the Pittsfield Public Schools and, if applicable, include the date that the student took up residence outside of Pittsfield:
Date of move outside of Pittsfield if applicable: We are requesting School Choice, starting [date]: I give my consent for the schools that my child attended prior to this request to release information relative to his/her academic records, discipline, and school citizenship to an administrator of the Pittsfield Public Schools.
Signature of Parent/Guardian
Date
For official school use only. Do not write below this line. ❑ Approved ❑ Denied Receiving Principal’s Signature
Date
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SCHOOL CHOICE REQUEST for Non-residents of Pittsfield
High Schools Over 300 courses Both high schools have Standard, Intensive, Honors and Advanced Placement courses; Liberal Arts; Fine and Performing Arts Pittsfield High School:
Academy of Hospitality/Travel & Tourism Academy of Finance Academy of Fine Arts Academy of Telecommunications Pre-engineering Academy Achievement and Accelerated Academies Career Technical Education* – Cosmetology Culinary Arts Facilities Management Horticulture Power Equipment Technology
Taconic High School:
Academy of Business Management Academy of Information Technology Science and Engineering Academy Academy of Human Services Career Technical Education* – Automotive Collision Repair & Refinishing Automotive Technology Carpentry Culinary Arts Graphic Communications Health Assistance Machine Tool Technology Metal Fabrication & Joining Technologies
*IMPORTANT: Students who want to enroll in Career Technical Education must apply through the CTE Office (448-9601) by April 1 and should not submit a School Choice Request. Middle Schools State of the art: technology, library-media center, science laboratories Elementary Schools State of the art: technology, library-media center, subject specialists
Please complete information on the reverse side of the form. Massachusetts General Law, Chapter 76 Section 12B (j) permits public schools to establish terms for accepting non-resident school choice students. Massachusetts General Law, Chapter 71, Section 37L; Chapter 71, Section 37H (e); permits public schools to review the student applicant’s complete school record. Pittsfield Public Schools admits students and makes available to them its advantages, privileges and courses of study without regard to race, color, sex, religion, national origin, sexual orientation or disability. If you need assistance translating this document into a language other than English, please contact the district's Coordinator for English Language Learners at 413-499-6304. Si usted necesita ayuda que traduce Si vous avez besoin de l'assistance Se necessita auxílio traduzindo este este documento en un idioma de otra traduisant ce document dans une documento numa linguagem outro que manera que inglés, contacta por favor langue autrement que l'anglais, s'il inglês, por favor contata o ELL al ELL Coordinador del distrito en 413- vous plaît contacter le ELL Coordenador em 413-499-6304. 499-6304. Coordinateur à 413-499-6304 Если Вы нуждаетесь в помощи, переводящей этот документ на язык кроме английского языка, пожалуйста свяжитесь с ELL Координатором в 413-499-6304.
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