Renewal Application for Optional Schools 2018-19
SCS PIN number *
The SCS PIN number can be found in the upper right hand corner of the student's report card or by calling your child's school.
Your answer
Name of 2017-18 School *
Current Grade 2017-18 *
Grade ENTERING 2018-2019 *
Student's Last name *
Your answer
Student's First Name, Middle Initial *
Example: John, M.
Your answer
Student's Date of Birth *
MM
/
DD
/
YYYY
Gender *
Race *
Legal Street ADDRESS *
Your answer
City *
Your answer
State *
Your answer
Zip code *
Your answer
Mother/Legal Guardian's Name *
Last name, first name
Your answer
Mother/Legal Guardian's Email Address
Your answer
Mother/Legal Guardian's Home Phone *
Your answer
Mother/Legal Guardian's Work Phone *
Your answer
Mother/Legal Guardian's Cell/Alternative Phone *
Your answer
Father/Legal Guardian's Name
Last name, First Name
Your answer
Father/Legal Guardian's Email
Your answer
Father/Legal Guardian's Work Phone
Your answer
Father/Legal Guardian's Cell/Alternative Phone
Your answer
Parent/Guardian's Signature *
Students are eligible for renewal transfers to the SAME school IF they remain in this specific school's program all year and maintain this Optional school's renewal requirements. Final approval is contingent upon the review of the student's final report card. All of the requirements for the specialized Optional program must be maintained for renewal. Typing your name below certifies that you have entered the information above truthfully and confirms that you have reviewed the renewal conditions outlined above.
Your answer
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