requirements for regK - Salem Public Schools

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requirements for regK - Salem Public Schools
Salem Public Schools
City of Salem
Parent Information Center
__________________________________________________________________________________
29 Highland Avenue, Salem, Massachusetts 01970
(978) 740-1225
Fax (978)740-1176
Registration Document Checklist
In order to properly register your child for school, you must provide the Parent Information Center with the
following documents:
Required Forms
Assignment Application Form (please complete & sign)
Home Language Survey
Household Information Survey, and Acknowledgement Form
Birth Certificate (one of the following documents)
§ Child’s birth certificate (original or certified copy) § Passport § I-94 Card § Resident Alien Card
Immunization Records (Please provide your child's most recent physical examination and
immunizations. If your child has an appointment during the summer, send a copy of the updated
information to PIC attention Paula Dobrow, RN. By law, children cannot be admitted to school
until the documentation has been received).
Medical Information Sheet & Emergency form
Proof of Parent/Guardian’s Identity – provide one of the following:
§ Massachusetts Driver’s License,
§ Massachusetts Photo ID
§ Passport
Proof of Address in Salem (two of the following documents)
§ Lease or mortgage statement in parent’s/guardian’s name, current electric, gas, cable, water, or
telephone bills in parent’s/guardian’s name
§ If you do not have any utilities under your name and you reside with a family member or
friend: please provide a notarized letter from the person you live with and two proofs of address
under that person’s name.
Special Education Individualized Educational Plan (IEP), if applicable
504 Plan, if applicable
Proof of address
Residency fraud is a violation of Massachusetts state law and is subject to per diem fines for every day that a student attends school
outside the district in which s/he legally resides.
Legal guardianship
Legal guardianship requires additional documentation from a court or agency.
Homeless families
The McKinney-Vento Act requires schools to enroll homeless children and youth immediately, in the absence of the normally required
documents, please talk to a PIC staff member.
Escuelas Públicas de Salem
Ciudad de Salem
Centro de Información para Padres
__________________________________________________________________________________
29 Highland Avenue, Salem, Massachusetts 01970
(978) 740-1225
Fax (978)740-1176
Lista de Verificación para Inscripción
Para matricular a su niño/a en la escuela, debe proveer al Centro de Información para Padres los siguientes
documentos:
Documentos Requeridos
Aplicación de Asignación (completada y firmada)
Encuesta del Idioma Hablado en el Hogar
Encuesta de Información Familiar y Forma de Reconocimiento
Acta de Nacimiento (uno de los siguientes documentos)
§
§
§
§
Certificado de nacimiento (original o copia certificada)
Pasaporte
Tarjeta I-94
Tarjeta de residencia
Vacunas (incluya el examen físico y las vacunas más recientes de su hijo. Si su hijo tiene una cita durante el verano,
envíe una copia de la información actualizada a Paula Dobrow, RN. Por ley, los niños no pueden ser admitidos a la
escuela hasta que la documentación haya sido recibida).
Hoja de Información Médica & Formulario de Emergencia
Prueba de Identidad del Padre/Tutor (uno de los siguientes documentos)
§ Licencia de conducir de Massachusetts
§ Identificación con foto de Massachusetts
§ Pasaporte
Prueba de Dirección en la Ciudad de Salem (dos de los siguientes documentos)
§
§
Arrendamiento o estado de hipoteca en nombre de los padres/tutor, factura de electricidad, gas, cable,
agua, o teléfono a nombre de los padres/tutor
Si usted no tiene ninguna prueba de dirección bajo su nombre y vive con un familiar o
amigo/a: Necesitamos una carta de la persona con quien vive, certificada por un notario, acompañada de
dos pruebas de dirección con el nombre de esa persona.
Plan Educacional Individualizado (PEI), si aplica
Plan 504, si aplica
Comprobante de domicilio
El fraude de residencia es una violación a las leyes estatales de Massachusetts y está sujeto a multas diarias por cada día
que un estudiante asista a una escuela fuera del distrito en el cual él/ella reside legalmente.
La tutela legal
La custodia legal requiere documentación adicional de un tribunal o agencia.
Familias sin hogar
La Ley McKinney-Vento ordena que las escuelas matriculen a niños y jóvenes sin hogar de inmediato, aún si no posee los
documentos normalmente requeridos, por favor hable con un miembro del personal del Centro de Información para
Padres.
Salem Public Schools
City of Salem
______________________________________________________________________________________________________________"
29"Highland"Avenue,"Salem,"Massachusetts"01970"
""""""""""""""""""""(978)"740?1225""""""""Fax"(978)740?1176"
Acknowledgement
Eligibility for Free/Reduced Price Meals: How Information Will Be Used
Parent Name:____________________________ Student Name: _____________________________
I acknowledge and agree to release to the Salem Public Schools’ Parent Information Center and
further acknowledge and agree that the Salem Public Schools’ free and reduced price meals officials
may give to the Salem Public Schools’ Parent Information Center information concerning my child’s
eligibility or non-eligibility for price meal benefits.
I acknowledge and agree that the Salem Public Schools’ Parent Information Center may use this
information to help determine the placement of my child. I understand that both the Salem Public
Schools’ and I free and reduced price meals officials will be releasing eligibility information to the
Salem Public Schools’ Parent Information Center from the Price Meal Benefit Form for my child. I
give up my rights to confidentiality for this purpose only.
I understand that I am not required to release this information and that my declining to sign this form
will not affect my child’s eligibility and participation for price meal benefits or non-eligibility for
price meal benefits.
I understand that if I elect not to release this information, the Salem Public Schools’ Parent
Information Center will consider my child non-eligible for free and reduced price meals only for
purpose of determining school placement for my child.
!
I am choosing to release my eligibility for free or reduced price meal benefits and am
attaching a copy of our meals application.
!
I am electing not to release this information and/or my family is not eligible for this
benefit.
I have read this release and understand its terms and sign it voluntarily.
___________________________________ Parent/Guardian Signature
___________________________________ Date
Please Note: This voluntary disclosure is used in the registration process only. When your child
begins school, you must submit your formal application for the federal free and reduced price
lunch program and be determined to be eligible to receive free or reduced price meals.
"
Home Language Survey
Massachusetts Department of Elementary and Secondary Education regulations require that all schools determine the language(s) spoken in each student’s
home in order to identify their specific language needs. This information is essential in order for schools to provide meaningful instruction for all students. If a
language other than English is spoken in the home, the District is required to do further assessment of your child. Please help us meet this important
requirement by answering the following questions. Thank you for your assistance.
Student Information
First Name
Middle Name
Country of Birth
/
/
Date of Birth (mm/dd/yyyy)
F
Gender
Last Name
M
/
/
Date first enrolled in ANY U.S. school (mm/dd/yyyy)
School Information
/
/20
______
Start Date in New School (mm/dd/yyyy)
Name of Former School and Town
Current Grade
Questions for Parents/Guardians
What is the native language(s) of each parent/guardian? (circle one)
Which language(s) are spoken with your child?
(include relatives -grandparents, uncles, aunts,etc. - and caregivers)
(mother / father / guardian)
seldom / sometimes / often / always
(mother / father / guardian)
What language did your child first understand and speak?
seldom / sometimes / often / always
Which language do you use most with your child?
Which other languages does your child know? (circle all that apply)
Which languages does your child use? (circle one)
speak / read / write
speak / read / write
Will you require written information from school in your native
language?
Y
N
Parent/Guardian Signature:
X
seldom / sometimes / often / always
seldom / sometimes / often / always
Will you require an interpreter/translator at Parent-Teacher meetings?
Y
N
/
Today’s Date:
/20
(mm/dd/yyyy)
Salem Public Schools City of Salem
Parent Information Center
_______________________________________________________________________________________
29 Highland Avenue, Salem, Massachusetts 01970
(978) 740-1225
Fax (978)740-1176
HOUSEHOLD INFORMATION SURVEY
Please complete, sign and return this application to the address above.
IF ANY MEMBER OF YOUR HOUSEHOLD RECEIVES M A S N A P o r M A T A F D C b e ne f i t s , PROVIDE THE AGENCY IDENTIFICATION NUMBER* LOCATED ON THE
DEPARTMENT OF TRANSITIONAL ASSISTANCE (DTA) BENEFIT LETTER. Then proceed to Section 4. If no one receives these benefits, start with Section 1.
Name:___________________________________________________
10-Digit Case Number:________________________________
INSTRUCTIONS: Complete this survey and return to your child’s school or mail to the address listed above.
These selections must be completed by the Head of Household or Designee
1.
2.
SIZE OF FAMILY - Indicate the total number of individuals living in your household, including all adults and children:_______
STUDENT INFORMATION - Complete for each student Pre-K through 12th grade
Last Name
First Name
Birth Date
MM-DD-YY
School
Identify
H if Homeless
M if Migrant
R if Runaway
F if Foster
1.
2.
3.
4.
5.
6.
7.
8.
If you need additional lines, attach a second sheet to this survey or attach a copy of this survey clearly marked as Page 2
3. TOTAL MONTHLY HOUSEHOLD INCOME – Report Income for all members of household excluding foster children. If you have reported a case number above, you
do not need to complete this section; proceed to section 4.
Circle if
Type of Income
Income
No Income
1. Gross Monthly Earnings: Wages, Salary, Commissions
$
None
2. Monthly Welfare Payments, Child Support, Alimony
$
None
3. Monthly Payments from Pensions, Retirement, Social Security
$
None
4. Monthly Dividends or Interest on Savings
$
None
5. Monthly Worker’s Compensation, Unemployment, Strike Benefit
$
None
6. Other Monthly Income (SSI, VA, Disability, Farm, other)
$
None
Total Monthly Household Income (Add lines 1-6)
4.
$
SIGNATURE
I certify (promise) that all information on this application is true and that all income is reported. I understand the school will be eligible for certain federal and/or state funds based on the information I
give.
Sign Here: X________________________________________________
Address
Home Phone
For Office Use Only:
Circle One
Print Name:______________________________________ Date____________________
City
Zip Code
Work Phone
QUALIFIES
QUALIFY
Email Address:
DOES NOT
By providing your email address, you may be contact via email
by the district
PROCESSED BY:
Salem Public Schools - Assignment Application - Carlton Continuous Progress Program
Date of Application:__________
School Year: 2015-2016
Date of Enrollment:
Winter Trimester
Spring Trimester
Student Information
Child’s Full Name: ________________________________________________________________________
First
Full Middle
Last
Address: __________________________________________________________________
Grade Entering: Kindergarten
Apt. #: ____________
Male
Female
Place of Birth:__________________________________________________________________
Date of Birth: _____________________
City
Country
If born in another country, date of arrival in USA: ______________________________________________________________________________
Name of Day Care or Pre-K Program attending: _______________________________________________________________________________
City/State:________________________________________________________
Has your child ever attended the Salem Early Childhood Center?
No
Last day attended: ___________________________________
Yes
years? __________________________________
Parent/Guardian Information
I am the child’s
Parent
Legal Guardian
E-mail: _________________________________ Home Phone: _________________________
Mother’s Name: _________________________________________ child lives with
Yes
No Mobile Phone: _______________________
Father’s Name: __________________________________________ child lives with
Yes
No Mobile Phone: _______________________
Guardian’s Name:______________________________________________________
Parent’s address, if different from student’s:_______________________________
Relationship: _________________________________
Home Phone: ____________________________________
Ethnic/Racial Group:
Primary Home Language
Hispanic or Latino:
Yes
No AND check all that apply:
English
Spanish
Vietnamese
Portuguese
Albanian
Asian
American Indian or Alaskan Native
Russian
Black
White
Other________________
Hawaiian/Pacific Islander
In which language would you prefer your school notification sent? ______________________
Is student receiving special services?
Yes
No
Is student receiving the following services?
Title 1
LEP (English Lang. Learner)
Medical Concerns/Daily Medications
(If not in violation of confidentiality)
Special Circumstances:
Yes
Member of Military Family
Date of Birth
______________________________
______________________________
______________________________
My Household qualifies for Free/Reduced Lunch Yes
Special Circumstances:
Migrant
IEP
504 Plan
No _________________________________________________________________________
Homeless
Siblings:
Name
________________________________
________________________________
________________________________
If Yes
Refugee
No
Other: _____________________________________
School Attending
__________________________
__________________________
__________________________
Grade
____________
____________
____________
Staff Initials ________
Homeless
Other: ________________________________________________
Would you like information about the Parent-Child Home Program for 2 and 3 year olds? Yes
No
Parent’s signature:___________________________________
Office Use Only
SCHOOL ASSIGNMENT:
PROGRAM:
SASID#
SIBLING ATTENDING CARLTON: Yes ___ No ___
PROXIMITY TO SCHOOL:
FREE/REDUCED LUNCH: Yes ___ No ___
LANGUAGE EVAL: Yes ___ No ___
FREE TRANSP.: Yes ___ No ___
NOTE:
Salem Public Schools
School Health Services
Dear Parent / Guardian,
Massachusetts State Law, Chapter 76, s. 15 requires that all children receive these
immunizations before the first day of Kindergarten.
Your child’s health records for Kindergarten entry must contain:
_____ Physical Examination (must be within 6 months of entering school)
All immunizations
_____ DTP
#1
#2
#3
#4
_____ Polio
#1
#2
#3
#4
_____ MMR
#1
#2
_____ Hepatitis B
#1
#2
_____ Varicella
#1
#2
#5
#3
_____ or physician’s documentation of having had chicken pox disease
_____ Lead Test
____ Health Questionnaire
______Vision Screening including stereopsis screening
Please contact your health care provider to schedule the required physical and/or
immunization visit(s). Vaccines are available, free of charge, at the Lydia Pinkham Clinic, 250
Derby Street, Salem, MA on Tuesday and Thursday afternoons from 1 PM until 4 PM.
All health forms must be reviewed by the school nurse before the start of Kindergarten.
Children will not be allowed to be in school until the documentation has been received. If you
have any questions, please contact your school nurse.
Please submit any health information completed during the summer to the Parent
Information Center at Collins Middle School, 29 Highland Ave, attention Paula Dobrow, RN.
Thank you for your prompt attention.
Paula J. Dobrow, RN, MSN
Director of Nursing and Health Services
978-825-5500
Salem Public Schools City of Salem Parent Information Center _______________________________________________________________________________
29 Highland Avenue, Salem, Massachusetts 01970
(978) 740-1225
Fax (978) 740-1176
Dear Parent(s),
We wish to welcome you and your child to the Salem Public Schools! This packet contains a kindergarten application and related
materials for the Carlton Innovation School Continuous Progress Program. We ask that you complete this information and return it to the
Parent Information Center. All assignments to Carton Elementary School will follow the Salem School Committee’s Assignment Policy.
School assignments are based on the information you provide to us via these materials. We hope that the following information helps to
answer some of your questions about the registration process.
With regard,
Stephen Russell, Ed.D.
Superintendent
How do I enroll my child in the
Salem Public Schools?
Submit a kindergarten assignment
application to the Parent Information
Center. An assignment application is
enclosed along with an addressed return
envelope. Enrollment is a three-step
process:
Step 1.
Step 2.
Complete all forms in the
kindergarten packet and submit
the required documents.
Upon receipt of your child’s
assignment, please confirm
assignment by sending the
confirmation form back to PIC.
Step 3. You and your child must attend
Kindergarten screening.
What is the deadline to submit
application?
In order for siblings to have priority you must
submit your application by February 20th to
receive this preferred status. Any other
applications must be received by March 1st.
How will parents be notified?
Parents will be notified by mail of whether or
not their child was assigned or place on a
waiting list by May 1st.
Please do not call the Parent Information
Center or Carlton School regarding
kindergarten assignments before the
notification dates.
What documents do I need to submit
with my application?
Proof of address (two of the following documents):
Lease or mortgage statement in parent’s/guardian’s
name: current electric, gas, cable, water, or
telephone bills in parent’s/guardian’s name.
If you do not have any utilities under your name
and you reside with a family member or friend: We
need a notarized letter from the person you live with
and 2 utility bills under that person’s name.
Parent’s photo ID
Household Information Survey &
Acknowledgement Form
Proof of Child’s Age
(One of the following documents):
Child’s birth certificate (original or certified copy)
Passport, I-94 Card or Resident Alien Card
Immunization Records Please provide your child's
most recent physical examination and
immunizations.
Special Education Individualized Educational
Plan (IEP) or 504 Plan, if applicable
How will students be selected?
Students entering Salem Public Schools are assigned
according to our Controlled Choice Student Assignment
Policy:
1) Programmatic placements
2) Sibling preference (if submitted by February 20th)
3) Choice and Free and reduced Lunch Status
When is kindergarten screening?
Kindergarten screening will take place at the Carlton
Elementary School before each trimester entry.
Parents will be contacted by the school to set up
appointments.
If you need more information you may
contact the Parent Information Center
(978) 740-1225
What is the age requirement for
this program?
The Carlton Innovation School will admit
Kindergarten students three times during the
school year. Please see the chart below for
age requirement:
Fall
Trimester
Winter
Trimester
Spring
Trimester
All
Kindergarten
students who
are 5 years
by August
31st
All
Kindergarten
students who
are 5 years
old between
September
1st and
November
30th
All
Kindergarten
students who
are 5 years
between
December 1
and February
28th
If assigned, will my child be able to
ride the school bus?
Transportation will be provided if you meet
the distance criteria determined by the
School Committee’s transportation policy.
For questions regarding transportation
please contact the Transportation
Department at (978) 740-1138.
What if my child has a medical
condition?
If your child has a health condition such as
asthma, diabetes, allergy to food or bees,
seizure disorder, cystic fibrosis, bleeding
disorder or other health concern, please
contact the nurse at your assigned school as
soon as possible to plan for his/her care that
may be necessary during the school day.
Questions or concerns during the summer can be
directed to Paula Dobrow, RN, at (978) 825-5500.
SALEM PUBLIC SCHOOLS SCHOOL HEALTH SERVICES MEDICAL INFORMATION SHEET Student’s Name:______________________________________ Date of birth:_______________ Parent/Guardian Name:__________________________________________________________ Address: _____________________________________________________________________ Phone:________________________________ Cell: ____________________________________ Parent/GuardianName:___________________________________________________________ Address: ______________________________________________________________________ Phone: __________________________________Cell: __________________________________ Pediatrician: ______________________________________ MD Phone: ___________________ Dentist: ___________________________________________DMD Phone: _________________ Prescribed Medications: ______________________________________________________ Health Insurance Name: _______________________________________________________ Does your child have any allergies? _________YES _______ NO If yes, please specify: Foods: _______________________________________ Insects/Bees: ____________________ Medicines: __________________________ Animals: ___________________________ Seasonal/environmental allergies: ______________ Other: ____________________________ Allergy medication used: _____________________________________________ Describe any reaction; include date(s) of reaction(s): ______________________________________________________________________________
______________________________________________________________________________ What treatment was given to your child? ______________________________________________________________________________ Has your child ever been given an Epi-­‐Pen? ________Does your child have an Epi-­‐Pen?______ Has your child been seen by an allergist, if so when:____________________________________ Allergy doctor:_______________________________________Phone:_____________________ Does your child have any health conditions? ________YES ________ NO asthma Nebulizer ______ yes ______ no Inhaler ______ yes ______ no ________YES ________ NO headaches ________YES ________ NO constipation ________YES ________ NO heart condition ________YES ________ NO sickle cell ________YES ________ NO diabetes ________YES ________ NO ADHD ________YES ________ NO urinary tract infections ________YES ________ NO bedwetting ________YES ________ NO seizures ________YES ________ NO food intolerances ________YES ________ NO short attention span ________YES ________ NO temper tantrums ________YES ________ NO celiac disease ________YES ________ NO hearing difficulty hearing aid? ______yes ____no ________YES ________ NO difficulty seeing wear glasses? ______ yes ____ no ________ YES ________ NO speech problems Has your child ever been hospitalized or had surgery? ______yes ______ no If yes, please explain_____________________________________________________________ ______________________________________________________________________________
______________________________________________________________________________ Is there anything else you think we should know about your child? Salem Public Schools
City of Salem
__________________________________________________________________________________
29 Highland Avenue, Salem, Massachusetts 01970
(978) 740-1225
Fax (978)740-1176
Registration Document Checklist
In order to properly register your child for school, you must provide the Parent Information Center with the
following documents:
Assignment Application form (please complete & sign)
Home Language Survey
Free and Reduced Price Meals Application, Acknowledgement Form & Materials
Birth Certificate (one of the following documents)
§ Child’s birth certificate (original or certified copy) § Passport § I-94 Card § Resident Alien Card
Proof of parent/guardian’s identity – provide one of the following:
§ Massachusetts Driver’s License,
§ Massachusetts Photo ID
§ Passport
Immunization Records
Proof of address in Salem (two of the following documents)
§ Lease or mortgage statement in parent’s/guardian’s name, current electric, gas, cable, water,
telephone bills in parent’s/guardian’s name
§ If you do not have any utilities under your name and you reside with a family member or
friend: please provide a notarized letter from the person you live with and two proofs of address
under that person’s name.
Transfer card from previous school, if applicable
Special Education Individualized Educational Plan (IEP), if applicable
504 Plan, if applicable
Proof of address
Residency fraud is a violation of Massachusetts state law and is subject to per diem fines for every day that a student attends school
outside the district in which s/he legally resides.
Legal guardianship
Legal guardianship requires additional documentation from a court or agency.
Homeless families
The McKinney-Vento Act requires schools to enroll homeless children and youth immediately, in the absence of the normally required
documents, please talk to a PIC staff member.
Escuelas Públicas de Salem
Ciudad de Salem
__________________________________________________________________________________
29 Highland Avenue, Salem, Massachusetts 01970
(978) 740-1225
Fax (978)740-1176
Lista de Verificación para Inscripción
Para matricular a su niño/a en la escuela, debe proveer al Centro de Información para Padres los siguientes
documentos:
Aplicación de Asignación (completada y firmada)
Encuesta del idioma hablado en el hogar
Aplicación para almuerzo gratis o reducido, Formulario de Reconocimiento & Materiales
Acta de nacimiento (uno de los siguientes documentos)
§ Certificado de nacimiento (original o copia certificada)
§ Pasaporte
§ Tarjeta I-94
§ Tarjeta de residencia
Prueba de identidad del padre/tutor (uno de los siguientes documentos)
§ Licencia de conducir de Massachusetts
§ Identificación con foto de Massachusetts
§ Pasaporte
Historial de Vacunas (cartilla con las vacunas actualizadas)
Prueba de dirección en la ciudad de Salem (dos de los siguientes documentos)
§ Arrendamiento o estado de hipoteca en nombre de los padres/tutor, factura de electricidad,
gas, cable, agua, o teléfono en nombre de los padres/tutor.
§ Si usted no tiene ninguna prueba de dirección bajo su nombre y vive con un familiar o
amigo/a: Necesitamos una carta de la persona con quien vive certificada por un notario,
acompañada de dos pruebas de dirección con el nombre de esa persona.
Tarjeta de transferencia de la escuela anterior, si es aplicable
Plan Educacional Individualizado (PEI), si es aplicable
Plan 504, si es aplicable
Comprobante de domicilio
El fraude de residencia es una violación a las leyes estatales de Massachusetts y está sujeto a multas diarias por cada día
que un estudiante asista a una escuela fuera del distrito en el cual él/ella reside legalmente.
La tutela legal
La custodia legal requiere documentación adicional de un tribunal o agencia.
Familias sin hogar
La Ley McKinney-Vento ordena que las escuelas matriculen a niños y jóvenes sin hogar de inmediato, aún si no posee los
documentos normalmente requeridos, por favor hable con un miembro del personal del Centro de Información para
Padres.
Salem Public Schools
City of Salem
RELEASE OF STUDENT RECORDS In accordance with Massachusetts Department of Education Student Record Regulations (23:07(4)(8), please forward, as soon as possible, all academic records, standardized test scores, second language assessments, Special Education records, psychological reports, attendance, health behavior and discipline records, and any related information that may be helpful for the proper educational placement of this student. Massachusetts law requires that a transfer form must accompany these records. Date: ___________________________________________________ Student: ________________________________________________________ Date of Birth: ___________________________ Grade: ___________________________________ SASID# _________________________________________________________ (Previous) School Name: _________________________________________________________________________________ Address: ____________________________________________________________________________________________________ City, State, Zip Code: _______________________________________________________________________________________ Phone Number: ______________________________________ Fax Number: ___________________________________ Please forward records to: (New) School Name: ______________________________________________________________________________________ Address: ____________________________________________________________________________________________________ City, State, Zip Code: ______________________________________________________________________________________ Phone Number: ______________________________________ Fax Number: ___________________________________ RELEASE OF RECORDS AUTHORIZATION I hereby authorize the release of all records and reports pertaining to the above-­‐mentioned student to the SALEM PUBLIC SCHOOLS. Parent/Guardian signature: ____________________________________________________________ Parent/Guardian printed name: _______________________________________________________ FOR OFFICIAL SCHOOL USE ONLY RECORDS REQUESTED Academic Records
________________________
Achievement Test Scores
Date Request Forwarded
MCAS Scores
MEPA Scores
Special Education Records
________________________
Attendance Records
Date Records Received
Health Records
Discipline Records
Other

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