Fillable Open Enrollment Application Spanish Fillable FINAL

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Open Enrollment Application Spanish Fillable FINAL

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REVISED 11/18/2016
DISTRITO ESCOLAR AMPHITHEATER SOLICITUD DE
INSCRIPCIÓN ABIERTA
Utilice el formulario separado para cada estudiante.
Para que año escolar desea la inscripción abierta ______________en cual escuela ____________
Nombre del estudiante ______________________________________________________________
Género: Masculino _____ Femenino _____ Fecha de nacimiento: __________ Grado: __________
Nombre del padre/tutor _____________________________________________________________
Dirección de Domicilio (Físico)_____________________________________ Código postal _______
Teléfono (Hogar) ______________ (Empleo) ______________ Email: ________________________
Distrito de residencia _______________ Escuela de la vecindad _____________________________
Escuela de asistencia actual _______________________________ Distrito ___________________
¿Está el estudiante actualmente recibiendo estos servicios?SEI _____ (1
er
Lenguaje) ____________
Dotado _____ Educación especial _____ (Discapacidad)_______________________ Título 1 _____
¿Está el estudiante actualmente suspendido o expulsado?_____ Escuela _____________________
¿Está pendiente una acción disciplinaria en la escuela actual del estudiante?___________________
¿El Tribunal de Menores impuso alguna condición sobre el estudiante?_____
Para información de la escuela solamente - no para la inscripción:
Hermano ____________________________Escuela________________ Distrito _____ Grado_____
Hermano ____________________________Escuela________________ Distrito _____ Grado_____
Hermano ____________________________Escuela________________ Distrito _____ Grado_____
Hermano ____________________________Escuela________________ Distrito _____ Grado_____
El transporte de los estudiantes de inscripción abierta es responsabilidad de los padres. Se
proporciona transporte a la escuela(s) sin límites establecidos. Una vez aceptada la transferencia, los
estudiantes de inscripción abierta no están obligados a solicitar la condición de inscripción abierta
cada año escolar, a menos que el estudiante tenga problemas de disciplina o asistencia.
___________________________________________________________ _______________________
Firma Padre/Tutor Fecha
A.R.S. § 13-2407 establece que toda presentación de un formulario de registro falso en cualquier oficina del gobierno
constituye un delito grave de clase 6 y constituirá motivo para la retirada del estudiante de este distrito.
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USO DE LA OFICINA SOLAMENTE
Date Received: ___________________ Signature of Principal/Designee _____________________________
Sibling of Current Transfer Student _____ New Transfer Student _____ Calendar-based Transfer _____
District Resident & Eligible Children of Employee _____ Non-District Resident _____
School Year _____________ Grade ____________
Student: Accepted _____ Denied ______ Waiting _____ Notification Date ___________________________
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REVISED 11/18/2016
Nombre del estudiante ________________________________ Grado __________
Por favor, marque todas las escuelas de Amphitheater en las que han solicitado la inscripción abierta:
_____ Amphitheater High School _____ Copper Creek Elementary School
_____ Amphitheater Middle School _____ Donaldson Elementary School
_____ Canyon del Oro High School _____ Harelson Elementary School
_____ Coronado K-8 School _____ Holaway Elementary School
_____ Cross Middle School _____ Keeling Elementary School
_____ Ironwood Ridge High School _____ Mesa Verde Elementary School
_____ La Cima Middle School _____ Nash Elementary School
_____ Wilson K-8 School _____ Painted Sky Elementary School
_____ Prince Elementary School
_____ Rio Vista Elementary School
_____ Walker Elementary School
_____ Innovation Academy
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USO DE LA OFICINA SOLAMENTE
Parent Contact Information – Notification After Lottery
Name of parent/guardian contacted: __________________________________ Date: ___________________
Notification made by (school employee name): __________________________________________________
Correspondence confirming decision dated: ________________________
Do you want your child’s name to remain on the waiting list? Yes _____ No _____
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Open Enrollment Application Spanish Fillable FINAL

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Completed 3 July 2020

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