Get Manchester Regional High School Application

MANCHESTER REGIONAL HIGH SCHOOL 70 CHURCH STREET HALEDON NJ INTERDISTRICT PUBLIC SCHOOL CHOICE APPLICATION FOR ENROLLMENT IN A CHOICE DISTRICT 2013-2014 SCHOOL YEAR To avoid a delay in processing your application ALL sections of the application must be completed. To be completed by the parent or legal guardian Name of Student Applicant Street Address City County Home Phone Number Zip Parent s Work Phone District of Residence School the student is currently enrolled in for the 2012-2013 school year Student s grade level for 2012-2013 school year Does the student have a current IEP Special Education Plan If yes attach a copy. If yes attach a copy Has the student ever had an IEP or 504 Plan. If yes attach a copy or copies. If you currently have a student enrolled in this Choice district enter student s name Grade level in which the student is applying for admission in the 2013-2014 school year Please attach the Confirmation of Student Eligibility notification provided by your Resident District. If notification has not been received from the district of residence check here Falsifying any information on this application will result in the denial of the student s participation in the Choice Program* By my signature I certify that My student is eligible for the School Choice Program as a Tier 1 public school student. A Tier 1 student must be enrolled in a NJ public school in his or her resident school district for the entire year 2012-13 immediately preceding enrollment in a Choice district or if applying for kindergarten he/she must have a sibling currently attending the Choice district. I have satisfied the requirement that a Notice of Intent to Participate in the School Choice Program was provided to the Resident district by November 2 2012. I am applying for my student s admission to the Choice district for academic reasons only and not for athletic extracurricular or social reasons. My student is applying to the School Choice Program as a Tier 2 student. A Tier 2 student is a NJ resident who has not attended a public school in his/her Resident district for one year immediately prior to enrollment in the desired Choice district is attending a non-public school or if applying for kindergarten does not have a sibling currently attending the athletic extracurricular or social reasons. SIGN PRINT Signature of Parent or Guardian Name of Parent or Guardian DATE Application is due to the Choice District by December 3 2012. If yes attach a copy Has the student ever had an IEP or 504 Plan. If yes attach a copy or copies. If you currently have a student enrolled in this Choice district enter student s name Grade level in which the student is applying for admission in the 2013-2014 school year Please attach the Confirmation of Student Eligibility notification provided by your Resident District. If notification has not been received from the district of residence check here Falsifying any information on this application will result in the denial of the student s participation in the Choice Program* By my signature I certify that My student is eligible for the School Choice Program as a Tier 1 public school student.