HRACS TK-12 Request for Enrollment
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Email *
Please fill out the request for enrollment questions below. We will contact you regarding the next steps soon! Thank you for your interest! 
Parent/Guardian email address *
Please carefully input email address of primary contact
Parent First Name *
Please list each parent's or legal guardian's first name(s) - separate names with comma
Parent Last Name *
Please list the parent or legal guardian last name
Parent Phone Number *
Please use format:  xxx-xxx-xxxx
Street Address *
City *
Zip Code *
County of Residence *
Today's Date *
MM
/
DD
/
YYYY
Requesting Enrollment For *
Please select the year you are requesting to enroll at Hart-Ransom Academic Charter School.  
Required
Number of Students to Enroll *
Select the number of students you would like to enroll
Program of Interest *
Please select the program/s you wish to use for your students
Required
Student Information:
List for Each Student:
First & Last Name - Grade in 2026-27 - Birthdate (M/D/Year)

Please list information for each student seeking enrollment. 
EXAMPLE (for each student requesting enrollment)
  • John Smith - 10th - 3/07/xx (*click return/enter)
  • Jane Smith - 2nd - 4/08/xx
Student Information:
 *
EX: John Smith - 10th - 3/07/xx
Student/s Current School
List First-Last Name & Current School

Please list information for each student seeking enrollment. 
EXAMPLE (for each student requesting enrollment)
John Smith - Modesto High School (*click enter/return)
Jane Smith - Modesto Elementary School
Current School *
Are the student/s in good standing with their present school (behavior, academic, attendance, etc)?
Please explain situation below for any student who is NOT in good standing. 
Good standing? *
If no, explain situation:
If not in good standing, please explain situation (include name of student/s, date, and situation)
Does any child have a 504 Plan? *
Do any of the children listed above have a 504 Plan in place?
If yes, please explain 504 Plan
NOTE: Parent will need to provide a complete copy to school prior to enrollment if answering yes to 504 Plan
Special Education/IEP *
Have any child/ren listed above ever been tested / enrolled in special education? 
If yes, select type of IEP
Parent will need to provide a complete copy to school prior to enrollment if answering yes to IEP
If yes, describe IEP
Please list the student name and explain the IEP situation for any child listed above  ***A copy of IEP must be submitted with pre-enrollment (you may fax, email, or hand-deliver to school)
Homeschool experience *
Required
Homeschool experience explained
Explain here or 
List current Advisory teacher if interested in adding a sibling or current 8th grader enrolling in the High School
Choosing to homeschool *
Please describe the reasons you would like to homeschool with Hart-Ransom Charter School
Standardized & Local Assessments
Throughout the year, Hart-Ransom Charter School administers state and local assessments.  It is our expectation that all students participate in order to guide our important work of ensuring students learn key concepts.
How did you hear about us? *
Referred by:
If you have a friend, family member, or know a staff member at HRACS please list their name below. 
Please note: This is an application of interest only and is not an official enrollment form.  Upon acceptance to the program the parent/guardian will need to fill out our official enrollment forms and provide any additional required documents such as birth certificate, immunization records, or resource information.
I understand *
Required
Informational meeting *
Please sign up for an informational meeting if you are new to Hart-Ransom Charter
A copy of your responses will be emailed to the address you provided.
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