Required Signatures Lincoln Charter School - Denver
Please fill out this form - so we have accurate information on your student. A different form MUST be annually completed for each student.

Lincoln Charter is required by the state and federal government to collect much of this personal information (i.e., EDS Data, home language information, etc.), however all information is confidentially maintained by the school.

***Please note that Lincoln Charter will verify the home address listed below with one of the following NC approved documents (citizenship card, driver's license, lease agreement, non-parent affidavit of residency, phone bill, purchase agreement, residence verification form, residency affidavit, tax bill, utility bill, or water bill).***

Student Name- Legal Last Name *
Your answer
Student Name - Legal First Name *
Your answer
*
Pease list your child's birth date
MM
/
DD
/
YYYY
Grade Level *
Gender *
Ethnicity *
These are federally generated options.
Race *
These are federally generated options.
Required
Is either parent a military employee? *
If yes, what is this parent's place of employment?
Your answer
Does either parent work on government property? *
If yes, what is this parent's place of employment?
Your answer
EC/504/Additional Program Information
In order to serve your child appropriately and place him/her in appropriate classes, we must have copies of all prior testing for special services - as well as a copy of your child's current educational plan. Please include all relevant documentation with your child's registration. Additionally, please call Christy Hutchinson at 704-489-4343 to set up an appointment to review your child's educational plan with his/her teachers.
What is the first language the student learned to speak? *
? Que idioma aprendio a hablar primero el estudiante?
Your answer
What language does the student speak most often? *
? Que idioma habla el estudiante con mas frequencia?
Your answer
What language is most often spoken in the home? *
? Qhe idioma se habla en el hogar con mas frequencia?
Your answer
Economically Disadvantaged Students (EDS) Data
As required by the federal No Child Left Behind Act of 2001, NCDPI is required to report test results for the following student subgroups: ethnic origin, students with disabilities, students identified as limited English proficient, and students identified as economically disadvantaged. To report on the economically disadvantaged subgroup, household income information is collected.
Did your child receive free or reduced lunch during the 2015-2016 school year? *
Select the option that best describes your household size *
Please click "Other" if there are more than 8 individuals in your household
Select the option that best describes your household yearly income *
Please note, this information will be kept confidential
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