School Year Enrollment Update

*Use the form below to update your information for the current school year.*

  1. Contact Information

Student Information
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Transfer Request
  1. *If you are not requesting a transfer, please skip this section.*

    Families switching from academic centers to the home-based program will experience additional responsibilities related to engagement and reporting. Some academic centers have limited computer space or only accept certain grades. All transfers require approval prior to being processed.
PRIMARY PARENT/GUARDIAN CONTACT
  1. The Primary Parent/Guardian will receive communication from the student’s advisors and teachers as well as any school updates. For home based students, this individual is the one who is responsible for entering attendance and supervising the student’s work/progress at home. Please list an e-mail that is checked frequently and at least one reliable phone number. Students age 18 and older should use their own information and list the relationship as "SELF."
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ADDITIONAL CONTACT
HOME ADDRESS
  1. Proof of Residency is a state requirement for school enrollment effective in 2011. If you have moved or for whatever reason the address above does not match the proof of residency document on file, you will need to submit updated records as soon as possible so your student’s enrollment isn’t affected.



McKinney-Vento Eligibility Questionnaire
  1. This questionnaire is intended to address the McKinney-Vento Act 42 U.S.C. 11432. The answers to this residency information help determine the services the student may be eligible to receive.
  2. Fixed – stationary, permanent, and not subject to change
    Regular – used on a regular (i.e. nightly) basis
    Adequate – sufficient for meeting both the physical and psychological needs typically met in home environments.
  3. Category 1: The student's current living situation is Temporary AND due to hardship
  4. Category 2: The student's current living situation substandard or considered inadequate within the context?
  5. Category 3: The student is considered an Unaccompanied Youth
  6. If you marked "YES" for both Question #1 and Question #2, your student MAY be eligible for McKinney-Vento Services, which are determined on a case-by-case basis. Please contact the school McKinney-Vento liaison with any questions or concerns.
Eligibility for Federal Funding
  1. The Arizona Department of Education provides the following Income Guidelines for determining eligibility information for federal funding associated with programs funded under the Elementary and Secondary Education Act, ESEA.
  2. Definition of Income: all items such as wages and salaries before any deductions, and other income, such as self employment, welfare, social security, retirement benefits, unemployment compensation, workers compensation, Aid for Dependent Children, alimony, child support, pensions, insurance or annuity payments, etc.
Federal Housing Questionnaire
  1. This information is gathered for the U.S. Department of Education Impact Aid Grant. Please check all boxes that apply:
Hearing and Vision Screening Permissions
  1. Hearing and vision screenings are conducted throughout the school year at academic centers, state testing sites, and by appointment with our main office staff in accordance to Arizona Revised Statues 36.899.01-04. The results of these screenings are gathered and a school administrator submits an annual state report to the Arizona Department of Health services at the end of the school year. Parents are generally notified of their child’s results only if the student fails the screening, at which point further consultation and a follow up from your primary care physician, audiologist, or optometrist is recommended. All students are expected to be screened unless their parents sign to OPT OUT of these tests.
School Photo/Video Permissions Policy
  1. During the school year, students may be photographed, recorded, or filmed while participating in school programs, field trips, or other activities. Students may also create schoolwork and/or other intellectual property such as artwork, essays, and poetry (“creative work”) as part of the educational process. We love to highlight students on our websites and monthly newsletters, and may seek permission to use student images for brochures or video productions advertising our school.

    Consent and Release: Sequoia Choice may use, release, and/or publicize my child’s image, first name and last initial, or creative work for educational, editorial, or promotional purposes. Unless indicated below, Sequoia Choice will consider participation in school events as consent.
OTHER INFORMATION
  1. By typing my name on the line(s) below I recognize that it constitutes my signature and is legally binding. I conform that the above information is correct for the 2016-2017 school year and if necessary, I will provide additional supporting documents.
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Intended Full-Time Equivalency Enrollment Statement (AOI)
  1. For funding and reporting purposes, the state of Arizona requires that we document the amount of classes a student is planning to take with Sequoia Choice-AZDL during the school year. We understand that the number may change throughout the year, so please give your best estimate.
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