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Waitlist Rockford Spanish Immersion - In-District Application
2023-2024
If you are filling out this application it will be for a waitlist FOR ALL GRADE LEVELS.
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* Indicates required question
Email
*
Your email
I understand that my child will be placed on the waitlist.
*
Yes
No
Grade my child currently is in
*
Kindergarten
1st
2nd
3rd
4th
5th
Other:
Is your child currently enrolled in a Spanish Immersion Program?
*
Yes
No
What school/program to they currently attend
*
Your answer
Student's Full Legal Name: First, Middle, Last
*
Your answer
Gender
*
Female
Male
Birth date
*
MM
/
DD
/
YYYY
Home address including City and Zipcode
*
Your answer
Parent/Guardian Name filling out the form
*
Your answer
Relationship to Child
*
Your answer
Phone Number to Parent/Guardian filling out the form
*
Your answer
Parent/Guardian #2 Name
*
Your answer
Relationship to Child
*
Your answer
Phone Number to Parent/Guardian #2
*
Your answer
Email Address of Parent Guardian #2
*
Your answer
Please Check the school your child would normally attend according to your home address
*
Belmont
Cannonsburg
Crestwood
Lakes
Meadow Ridge
Parkside
Roguewood
Valley View
Other:
Special Needs: Has the student ever received an educational assessment (IEP or Section 504 Plan) for speech, resource room, ECSE or other?
*
Yes
No
If yes, please indicate if it was for speech, resource room, ECSE, or other
Your answer
Please list any special, medical and/or educational needs or accommodations that we should be aware of:
Your answer
Send me a copy of my responses.
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