Post by xBlink on Jul 31, 2009 22:14:23 GMT -5
Student Entrance Application
Yes, I know nobody likes forms, but there could be a lot more, you see, the government fills out most of them...
Competition Information
Fill out in accordance to the example below. Once you have completed this form submit it to the Office Inbox. When we accept your application it will be filed and ______ will be added to the Student Roster.
No incomplete forms welcome. Thank you and have a nice day.
Form Example:
Yes, I know nobody likes forms, but there could be a lot more, you see, the government fills out most of them...
Competition Information
Fill out in accordance to the example below. Once you have completed this form submit it to the Office Inbox. When we accept your application it will be filed and ______ will be added to the Student Roster.
No incomplete forms welcome. Thank you and have a nice day.
Form Example:
STUDENT INFORMATION
Full Legal Name
(Last/Family/Sur Name, First/Given Name, FULL Middle Name)
(answer here)
Preferred Name
(If NOT First/Given Name) [/size]
(answer here)
Former Last Names
(If Applicable, Otherwise State ‘Not Applicable’) [/size]
(answer here)
Date of Birth and Time
(mm/dd/yy, hh:mm AM/PM) [/size]
(answer here)
Gender
(Male/Female) [/size]
(answer here)
Race
(Place An ‘X’ Beside Any That Apply) [/size]
___American Indian
___Alaskan Native
___Africa
___Asian
___Latin American
___Caucasian
___Pacific Islander
___Other (Specify) ______________
Ethnic Background
(Place An ‘X’ Beside Any That Apply) [/size]
___American Indian
___Alaskan Native
___ Africa
___Asian
___Latin American
___American
___Pacific Islander
___Other (Specify) ______________
US Social Security Number
(If US Citizen, Otherwise State ‘Not Applicable’) [/size]
[Warning: Please DO NOT use yours, or anybody you knows actually number]
(answer here)
Address
(Number and Street, City; State, Zip Code [If Not Applicable, Please indicate Otherwise]) [/size]
(answer here)
E-Mail Address
( If Applicable, Otherwise State ‘Not Applicable’; something@somewhere.com) [/size]
(answer here)
IM Address
( If Applicable, Otherwise State ‘Not Applicable’; list all current; username, site) [/size]
(answer here)
Desired Email and IM Username
(Username, Password) [/size]
(answer here)
Home Phone Number
(If Applicable, Otherwise State ‘Not Applicable’; (Area Code) xxx-xxx) [/size]
(answer here)
Cell Phone Number
(If Applicable, Otherwise State ‘Not Applicable’; (Area Code) xxx-xxx) [/size]
(answer here)
HOUSEHOLD INFORMATION
Who Has Legal Custody?
( Place An ‘X’ Beside Any That Apply)
___Both Parents
___Father
___Mother
___Grandparent(s)
___Guardian(s)
___Ward of Court
Student Lives With
(Place An ‘X’ Beside Any That Apply) [/size]
___Both Parents
___Father
___Mother
___Step Parent
___Grandparent(s)
___Guardian(s)
___Agency/Social Services
___Foster Parent(s)
___Alone
___Student’s Spouse/Partner
___Other Relative(s)
Parent/Guardian’s Legal Name
(Last/Family/Sur Name, First/Given Name) [/size]
(answer here)
Name Of Parent(s)/Sibling(s) Whom Attend/Have Attended Rosethorn Institute
(Name, Relationship, Current Grade/Year Attended; [Indicate Graduation Date With An Asterisk (*)]
________________________________________ ________________________________________ ________________________________________ ________________________________________
GUARDIAN INFORMATION
Name of Parents/Guardian NOT living in the primary household and current Address.
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
PREVIOUS SCHOOL(S) INFORMATION
Last School Attended
[/size] (Name) [/color] [/size]
(answer here)
Grade
(answer here)
Has your child ever been retained?
(Yes or No If yes, what grade?) [/size]
(answer here)
Has student attended pre-school?
(Yes or No If yes, check one of the following:) [/size]
___ PK-Public School
___Private Non-Profit PK
___Public Sponsored PK (Title 1)
___Private For Profit PK
___Head Start
___Other Public School
___PK Private School
List other schools student has attended:
___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________
Has your child ever received any of the following services? [/size]
(If yes, check all that apply) [/size]
___Special Education*
___Gifted
___Speech*
___ESOL
___EIP Reading/Math
___Remedial
___OT/PT*
___504
HOME LANGUAGE SURVEY
Parent or Guardian must complete. [/color]
First Language learned by student?
(answer here)
Language student uses at home?
(answer here)
Language student uses most often?
(answer here)
Country of Origin?
(answer here)
Date entered US schools:
(answer here)
[/size]LEGAL AGREEMENT
[put ‘x’ here] By Checking This Box I Hereby Express My Understanding That Rosethorn Institute For The Genetically Advanced Accepts Full Responsibility For any harm done to students. I hereby surrender this child over to the evil clutches of The Headmaster unknowingly and lots other strange fine print I didn’t even read because I assumed this was just another stupid thing. I did not actually read the small part about my student not being allowed to leave the campus unless permission is granted by The Headmaster himself (even though he would never agree to it) even though I said I read it and agree to it.
[size=2][u]STUDENT INFORMATION[/u]
[/size][size=1][color=Teal]Full Legal Name[/color][color=grey]
[i](Last/Family/Sur Name, First/Given Name, FULL Middle Name)[/i] [/color]
(answer here)
[color=Teal]Preferred Name[/color][/size]
[color=grey][size=1] [i](If NOT First/Given Name)[/i] [/color] [/size]
[size=1] (answer here)
[color=Teal]Former Last Names[/color][/size]
[color=grey][size=1] [i](If Applicable, Otherwise State ‘Not Applicable’)[/i] [/color] [/size]
[size=1] (answer here)
[color=Teal]Date of Birth and Time[/color][/size]
[color=grey][size=1] [i](mm/dd/yy, hh:mm AM/PM)[/i] [/color] [/size]
[size=1] (answer here)
[color=Teal]Gender[/color][/size]
[color=grey][size=1] [i](Male/Female)[/i] [/color] [/size]
[size=1] (answer here)
[color=Teal]Race[/color][/size]
[color=grey][size=1] [i](Place An ‘X’ Beside Any That Apply)[/i] [/color] [/size]
[size=1]
___American Indian
___Alaskan Native
___Africa
___Asian
___Latin American
___Caucasian
___Pacific Islander
___Other (Specify) ______________
[color=Teal]Ethnic Background[/color][/size]
[color=grey][size=1] [i](Place An ‘X’ Beside Any That Apply)[/i] [/color] [/size]
[size=1]
___American Indian
___Alaskan Native
___ Africa
___Asian
___Latin American
___American
___Pacific Islander
___Other (Specify) ______________
[color=Teal]US Social Security Number[/color][/size]
[color=grey][size=1] [i](If US Citizen, Otherwise State ‘Not Applicable’)[/i] [/color] [/size]
[size=2] [b][u][Warning: Please DO NOT use yours, or anybody you knows actually number][/u][/b] [/size][size=1]
(answer here)
[color=Teal]Address[/color][/size]
[color=grey][size=1] [i](Number and Street, City; State, Zip Code [If Not Applicable, Please indicate Otherwise])[/i] [/color] [/size]
[size=1] (answer here)
[color=Teal]E-Mail Address[/color][/size]
[color=grey][size=1] [i]( If Applicable, Otherwise State ‘Not Applicable’; something@somewhere.com)[/i] [/color] [/size]
[size=1] (answer here)
[color=Teal]IM Address[/color][/size]
[color=grey][size=1] [i]( If Applicable, Otherwise State ‘Not Applicable’; list all current; username, site)[/i] [/color] [/size]
[size=1] (answer here)
[color=Teal]Desired Email and IM Username[/color][/size]
[color=grey][size=1] [i](Username, Password)[/i] [/color] [/size]
[size=1] (answer here)
[color=Teal]Home Phone Number[/color][/size]
[color=grey][size=1] [i](If Applicable, Otherwise State ‘Not Applicable’; (Area Code) xxx-xxx)[/i] [/color] [/size]
[size=1] (answer here)
[color=Teal]Cell Phone Number[/color][/size]
[color=grey][size=1] [i](If Applicable, Otherwise State ‘Not Applicable’; (Area Code) xxx-xxx)[/i] [/color] [/size]
[size=1] (answer here)
[size=2][u]HOUSEHOLD INFORMATION[/u][/size]
[size=1] [color=Teal]Who Has Legal Custody?[/color][/size]
[color=grey][size=1] [i]( Place An ‘X’ Beside Any That Apply)[/i] [/color] [/size]
[size=1] ___Both Parents
___Father
___Mother
___Grandparent(s)
___Guardian(s)
___Ward of Court
[color=Teal]Student Lives With[/color][/size]
[color=grey][size=1] [i](Place An ‘X’ Beside Any That Apply)[/i] [/color] [/size]
[size=1] ___Both Parents
___Father
___Mother
___Step Parent
___Grandparent(s)
___Guardian(s)
___Agency/Social Services
___Foster Parent(s)
___Alone
___Student’s Spouse/Partner
___Other Relative(s)
[color=Teal]Parent/Guardian’s Legal Name[/color][/size]
[color=grey][size=1] [i](Last/Family/Sur Name, First/Given Name)[/i] [/color] [/size]
[size=1] (answer here)
[color=Teal]Name Of Parent(s)/Sibling(s) Whom Attend/Have Attended Rosethorn Institute [/color]
[color=grey] [i](Name, Relationship, Current Grade/Year Attended; [Indicate Graduation Date With An Asterisk (*)][/i] [/color]
________________________________________ ________________________________________ ________________________________________ ________________________________________
[size=2][u]GUARDIAN INFORMATION[/u][/size]
[color=Teal]Name of Parents/Guardian NOT living in the primary household and current Address.[/color][/size]
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
[size=2][u]PREVIOUS SCHOOL(S) INFORMATION[/u] [/size]
[color=Teal]Last School Attended[/color]
[color=grey][/size][size=1] [i](Name)[/i] [/color] [/size]
(answer here)
[size=1] [color=Teal]Grade[/color]
(answer here)
[color=Teal]Has your child ever been retained?[/color][/size]
[color=grey][size=1] [i](Yes or No If yes, what grade?)[/i] [/color] [/size]
[size=1] (answer here)
[color=Teal]Has student attended pre-school?[/color][/size]
[color=grey][size=1] [i](Yes or No If yes, check one of the following:)[/i] [/color] [/size]
[size=1] ___ PK-Public School
___Private Non-Profit PK
___Public Sponsored PK (Title 1)
___Private For Profit PK
___Head Start
___Other Public School
___PK Private School
[color=Teal]List other schools student has attended: [/color]
___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________
[/size]
[color=Teal]Has your child ever received any of the following services? [/color][/size]
[color=grey][size=1][i](If yes, check all that apply)[/i] [/color][/size]
[size=1]___Special Education*
___Gifted
___Speech*
___ESOL
___EIP Reading/Math
___Remedial
___OT/PT*
___504
[/size]
[size=2][u]HOME LANGUAGE SURVEY[/u][/size]
[size=1][i]Parent or Guardian must complete.[/i] [/color]
[color=Teal]First Language learned by student? [/color]
(answer here)
[color=Teal]Language student uses at home? [/color]
(answer here)
[color=Teal]Language student uses most often? [/color]
(answer here)
[color=Teal]Country of Origin? [/color]
(answer here)
[color=Teal]Date entered US schools: [/color]
(answer here)
[/size][size=3][u]LEGAL AGREEMENT[/u][/size]
[size=2][put ‘x’ here][size=1] By Checking This Box I Hereby Express My Understanding That Rosethorn Institute For The Genetically Advanced Accepts Full Responsibility For any harm done to students. I hereby surrender this child over to the evil clutches of The Headmaster unknowingly and lots other strange fine print I didn’t even read because I assumed this was just another stupid thing. I did not actually read the small part about my student not being allowed to leave the campus unless permission is granted by The Headmaster himself (even though he would never agree to it) even though I said I read it and agree to it.[/size]