Innocademy Allegan Campus Enrollment 2019-2020
Thank you for wishing to enroll at Innocademy Allegan. We are excited for you to be part of our family! Please answer each question completely and submit. Please understand that filling out this application DOES NOT GUARANTEE enrollment for your student. Enrollment will be granted based on availability, on a first-come-first-serve basis.
Email address *
Please enter the name of the student you wish to enroll. If enrolling more than one student, please complete this survey for EACH student you wish to enroll. *
Please enter the birthdate of the student you are wishing to enroll. *
CURRENT grade level (for 18-19 school year) of student you are wishing to enroll. *
Gender of student (according to birth certificate) *
Please list an email address where we may contact you regarding enrollment. *
Please list a phone number where you can be contacted. *
Please enter the GRADE LEVEL for the student you wish to enroll for the 2019-2020 school year. *
Is this child a foster child? *
Does your student currently hold an IEP for any special education servicing (As a public school academy, Innocademy does not discriminate based on special service requirements by a particular student. All students have equal opportunity to attend this school.)? *
If your child CURRENTLY holds an IEP for special services, please indicate the reason below. If he/she does not receive special services, you may write N/A. *
Is your child currently receiving English as a Second Language (ESL) services? *
In the past, has your child EVER received English as a Second Language (ESL) services? *
What is the first spoken language your student learned (excluding sign language). *
What is the primary language spoken in your home? *
If one or more parent/guardian is considered currently on Active Duty in any branch of the military, please list their name(s) and the branch of the military where they serve. If this does not apply to any parent/guardian in your family, please write N/A. *
At this time, our family... *
Innocademy participates in the M-STEP testing required by the State of Michigan. Students must report to campus for testing. PARTICIPATING IN TESTING IS A REQUIREMENT FOR ENROLLING. Parent/Guardian: Typing your full name in the box indicates that you understand the M-STEP testing requirements and assures us you will work with Innocademy Staff to have your student participate. *
Which DISTRICT is this student transferring from? Please write N/A if your student is not transferring from another district. *
Which SCHOOL is this student transferring from? Please write N/A if your student is not transferring from another school. *
Has this student ever been truant, suspended or expelled from any school? Please check all that apply. *
If this student has ever been suspended or expelled from a school, please explain the circumstances (including dates) of suspension or expulsion, below. If this does not apply to your student, please place N/A in the box, below. *
REQUEST FOR RECORDS: In order to receive records for your student from his/her current school, we must send a request to them. These requests will not be sent until JUNE. If you are applying in the month of June or after, the records request will be sent as soon as enrollment is complete and confirmed. No requests will be sent to schools for any student on the waiting list. Parent/Guardian Permission: By entering my full name in the box below, I authorize the transferring school to send all student records, including the special education records, of the student named above.I understand that this permission does not waive my right to examine these records or to challenge the accuracy and contents. I understand that my signature is not required for transfer of records between public schools per 99.31 and 99.34 of the FRPAct of 1974. *
If a family or staff member at one of our schools referred you, please list their name, below. If no one referred you, please tell us how you heard about us! Thank you! *
Entering my first and last name in the box below indicates that I understand the limitations outlined below and certify that THE INFORMATION ON THIS APPLICATION IS TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. IES Schools and LSSU do not discriminate on the basis of race, color, disability, religion, gender, or national origin. Innocademy and LSSU reserve the right to limit enrollment based on capacity of grade levels. Enrollment may also be denied to a student who has been suspended, expelled or truant from any district, or for other reasons as determined by Innocademy and Lake Superior State University. *
Entering your first and last name in the box below indicates that the child's other parent/guardian is aware and in support of this student enrolling at Innocademy (not applicable in cases where sole custody is indicated within court documentation). *
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