New Student Enrollment Information
Upon enrollment other records that will be needed are Birth Certificate, proof of residency, and immunization record.
Student's Last Name *
Your answer
School Enrolling
Student's First Name *
Your answer
Grade *
Your answer
Student's Middle Name *
Your answer
Gender *
Your answer
Birth Date *
MM
/
DD
/
YYYY
Birthplace *
Your answer
Race and Ethnicity Part A *
Is this student Hispanic/Latino? (Choose only one)
Required
Race and Ethnicity Part B *
What is the student's race? (Choose one or more)
Required
Indicate Past and Present Special Education Certification/Special Services Received: *
Required
Child lives with: *
Required
*If Homeless, please indicate the type of residence/shelter currently residing in:
If Guardian, do you have:
Mailing address *
Your answer
Home Address *
Your answer
Home Telephone Number: *
Your answer
Cell Phone:
Your answer
Parent Guardian: *
Your answer
Please list the names & grades (if applicable) of all other children in the family:
Your answer
Referred to our District by:
Your answer
Are you applying to attend at CASD under the Schools of Choice policy? *
Required
If so, how did you hear of our school district:
Your answer
Last School or Preschool Student Attended: *
Your answer
School City, State & Zip: *
Your answer
Previous School Phone Number:
Your answer
Has student ever been suspended? *
Please list reason in other space
Required
Has student ever been expelled? *
Please list reason in other space
Required
Has student ever been convicted of criminal sexual conduct? *
Required
Has the student ever been involved in a fight? Please explain: *
Your answer
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