Arbor Academy

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55 Arbor Street, Battle Creek, MI 49015

Phone: 269-963-5851
Fax: 269-964-2643

Arbor Academy Enrollment Application

Month/Year

Student Information

Student Name:
(City and State)
Gender
Twin/Triplet?
Student Primary Address
Did your child attend Preschool?
Ethnical Information (per Michigan Dept. of Education)
(select all that apply)

PARENT/GUARDIAN INFORMATION

Name
Address (if different)
(add extension if applicable)

MEDICAL INFORMATION

Has your student had chicken pox?

SPECIAL SERVICES

Does student have an Individualized Education Plan (IEP)?
Does your student have a 504 Plan?
Did student receive Special Services at previous School?

HOME LANGUAGE

Is the students primary language English?
Is the parent's primary language something other than English?
Has the student received English Language Service Support?

Temporary Living Agreements

These questions cover the definition of homeless that is within the No Child Left Behind Law. This enrollment form will meet the MSIP Standard 8.3.1 for enrollment identification.

Are you sharing the housing of others due to loss of housing, hardship, or a similar reason?
Are you currently residing at a motel, hotel, car or campsite because your home has been damaged or for economic reasons?
Are you currently residing in a shelter?
Are you currently living in a temporary housing arrangement due to economic hardship?

SIBLINGS

Does this student have sibling(s) currently enrolled at Arbor Academy?
Does this student have siblings also applying at Arbor Academy?

Please note: In order for a child’s application to be considered for the school year during open enrollment, the school must have this completed document on file by the last business day in February. Approximately one week after open enrollment ends, parents will be officially notified by mail of their child’s status for enrollment. Openings that occur AFTER the official notification process has been completed will be filled on a first-come, first-serve basis. After receiving the official notification of their child’s acceptance in Arbor Academy, parents are expected to sign a Release of Records form, and to send it back to the Academy with a copy of the child’s birth certificate and most recent immunization records. If there are any questions about this process, parents are encouraged to contact Arbor Academy at (269) 963-5851. Thank you for your interest in Arbor Academy!