Crossroads Charter Academy Enrollment Package Instructions/Checklist

 

Please complete one enrollment package for each student seeking admission to the Crossroads Charter Academy. Print clearly with blue or black ink. Be sure to include the student’s name at the bottom of each page; in case the pages of the documents become separated. As you complete each item, please mark the box on the list below. Keep a copy of this checklist for your records. If you have any questions or need assistance, please contact us.

Please check the school year for which you are applying:

 

 2006-2007         2007-2008

 

Enrollment Checklist

Please complete, sign and submit this Enrollment Checklist with your Enrollment Application.

Required Forms:

❑ Independent Study Master Agreement

❑ Family Educational Rights and Privacy Act (FERPA) Consent Form and Release Information

❑ Release of Student Records (except if applying to Kindergarten) this form is required to transfer your student’s previous school records. If your student is entering Kindergarten or was not previously enrolled in a school, write “Not Applicable” on the form.

❑ Student Information Form

❑ Free and Reduced lunch form

❏ Parent-Student-School Compact

❏ Home language Survey

 

Additional Required Documentation:

Before you send in your enrollment packet, please be sure you have completed and included copies (do not include originals) of the following:

❑ Proof of age for each child applying to our program (copy of Birth Certificate or Passport)

❑ A copy of your child’s Immunization Record (Shot Record).

❑ Current proof of residency (copy of current utility bill, tax statement, lease, or mortgage statement)

❑ A copy of the most recent report card and/or transcript for each child applying.

❑ A copy of your child’s Multi-factored Evaluation/504 or IEP, if applicable.

NOTE: Incomplete information will delay the processing of your child’s application. Please let us know if there is a specific reason that you are unable to provide any of the required documents (attach a separate sheet if necessary):

 

 

Signature of Parent: __________________________________ Date: ________