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It is mandatory that students in our program participate in state and federal testing during required dates. Please note that families are also responsible for travel costs associated with commuting to our physical building location(s) for orientation(s), state and federal testing purposes, and any other required activity. Families should consider travel limitations before enrolling at our school.
As the Parent/Guardian of this student, I have received the UNDERSTANDING CONCUSSION information. I acknowledge in accordance with Public Acts 342 and 343 of 2012 that I have received and reviewed the Concussion Fact Sheet for Parents and/or the Concussion Fact Sheet for Students provided by New Haven.
I authorize the school district to release my child's immunization record to the Michigan Department of Health and Human Services and Local Health Department. I understand this information will be used to improve the quality and timeliness of immunization services and to help schools comply with Michigan Law. This includes any immunization information and limited personally identifiable information from the school.
New Haven Schools has my permission to use photographs and/or videos of my child to show school activities to the public. I understand that the personally identifiable information may be used at the discretion of the media, involving no financial compensation to New Haven Schools, the student, or the family of the student. The final edited pictures and sounds may be shown without restriction, including radio and television broadcast, cablecast, printed publication, website and any other social media. I understand that I have the right to deny consent to the release of the photographs and/or information specified above, by refusing to sign this. If you consent, please sign here:
Please Read: Presenting false information, false records or falsifying records is an offense punishable by federal and state law. By signing below, you attest that all information provided on this form is true and accurate.
Parent/Legal Guardian Electronic Signature (or Student if 18 or over)
Grade Student Entering in 2018-2019:
Last Name:
Birth Day:
Has the student ever been suspended?
First Name:
Gender:
Has the student ever been expelled?
Note: Applicant students suspended within the last 2 years, or ever expelled or convicted of a felony will be excluded.
Is your child presently recieving any special services (i.e., special education, speech, etc.)? If YES, we need a copy of current IEP.
Services: , , , , , ,
In which School District do you reside?
School District Student Attended in 2017-2018:
Address:
Home Phone:
Cell Phone:
City:
Zip:
Work Phone:
How did you hear about us?
PARENT / GUARDIAN IS RESPONSIBLE FOR TRANSPORTATION
I understand that I will be responsible for transporting my child to and from school. All students will need transportation no later than 15 minutes beyond the end of the school day.
I certify that the above information is accurate and complete to the best of my knowledge. Further, I understand that if any of the information is found to be incomplete or inaccurate, it could result in the loss of my child's eligibility for acceptance and removal from the New Haven's Schools of Choice Program.
Return completed paperwork to:
New Haven Community Schools
30375 Clark Street, PO Box 482000, New Haven, MI 48048
For questions: Call: 586-421-2432 Fax: 586-749-2221
NOTICE OF NONDISCRIMINATION. It is the policy of New Haven Community Schools not to discriminate on the basis of race, color, religion, national origin or ancestry, gender, age, disability, height, weight or marital status in its programs, services, activities, or employment. Inquiries related to nondiscrimination policies should be directed to: Civil Rights Coordinator, Superintendent of Schools, Administration, 30375 Clark Street, PO Box 482000, New Haven, MI 48048 Phone: (586) 749-5123. / Nondiscrimination inquiries related to disability should be directed to: Section 504 Coordinator, (same address and phone).
Birth Certificate
Picture I.D.
Proof of Residency (Utility Bill, Lease Agreement)
Shot/Immunization Record
All High School Transcripts
Upload Your Documents
To help expedite your application process, we give you the option to upload digital versions of any or all of these documents onto our secure, encrypted servers.Once your files are received, they will be removed from the site and stored in our office.
Depending on the district, you may be asked for other documents.
To upload your files, check the boxes above to indicate which documents you are including then select the files on your computer in the popup window after clicking 'Upload Your Documents'
