GEMS Online Application for 2020-21 Enrollment
Prospective student's first name *
Your answer
Prospective student's last name *
Your answer
Date of Birth *
MM/DD/YYYY
MM
/
DD
/
YYYY
*Note:
If applying for Kindergarten, your student MUST be 5 years old by September 30th.
City & State of Birth: *
Your answer
Gender *
What is the primary language spoken at home? *
Your answer
Is your student Hispanic? *
Ethnicity *
(Check all that apply.)
Required
Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
What county do you live in? *
Required
Primary Phone *
example: 555-555-5555
Your answer
Is the above Phone number your: *
E-Mail address
Your answer
Preferred Method of Contact *
I am applying to enroll: *
What school is your student currently attending? *
Your answer
My child has repeated a grade level? *
If yes, what grade level was repeated?
Your answer
What school district do you live in? *
Your answer
Names and contact information for past school attendance (please include school year, school name and school address and phone: *
Your answer
What grade level are you applying for? *
*Note:
If applying for Kindergarten, your student MUST be 5 years old by September 30th.
Does your student have an IEP? *
Does your student have a 504 Learning plan? *
If your student does have an IEP or current 504 Learning Plan,
please provide a copy of the most recent IEP/ETR or 504 -Plan.
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