Income, Discipline Policy, & Placement Disclaimer 2020 -2021 School Year (2021-2022 not open at this time)

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Due to COVID 19 we are adjusting our application process. Please answer the below questions. Writing your name as your "signature' indicates your understanding. Be sure to go the the District Six website https://www.spart6.org/ under "Parents & Students" "4K Pre-Registration" to complete the online application as well.

Email *

What is your child's name? *

List all people, adults and children, who live in your household. *

INCOME: You will need to send Dr. Hammond "Verification of Income" documentation. It can be a picture of Medicaid card, pay stub or W2 for each person who contributes financially, or tax return. Check below which type of documentation you will send via email hhammond@spart6.org *

Medicaid verification (picture of card or verification letter)

Pay stub (for each person bringing income into the household)

W2 (for each person bringing income into the household)

Tax Return

other

Due to Covid 19 our finances have been affected. Please share explanation in space at the bottom of this form.

Required

List the Gross Monthly Income or Gross Yearly Income for each person who contributes financially to your household, indicating whether it is monthly or yearly. *

DISCIPLINE: Spartanburg School District Six Discipline Policy * I understand that as indicated above and in the CERDEP Parent and Guardian Handbook, the 4K program in Spartanburg School District Six, according to the Discipline and Guidance Policy, does not allow the use of corporal punishment or severe discipline. (Please submit your name below to indicate understanding.) *

Placement Disclaimer - English

PLACEMENT: 2020-2021 CHILD DEVELOPMENT (4K) PROGRAM Placement Disclaimer • Please submit your name in the space provided indicating understanding of the Placement Policy. *

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