Student Enrollment Checklist
Please provide the following contact information for the student:
First Name Last Name Middle Initial
Social Security #
1. Registration Form 2. Home Language Survey 3. Special Information Sheet 4. Parental/Legal Guardian Consent Form 5. Record Release Form 6. Field/Travel Release Form 7. Authorization to Sign Out 8. Compulsory Attendance Form 9. Media Permission Slip 10. Emergency Medical Information 11. Computer and Network use policy 12. Migrant Worker Form 13. Lunch Application 14. Birth Certificate 15. Immunization Records 16. Social Security Card 17. Transcripts 18. Proof of Residency (utility, telephone, property tax bill, etc.)
The above student's records are complete
___________________________ ___________________
Authorized Personnel Signature Date
Comments: