New Student Registration 2020-2021 - iPrep Academy
←
→
Page content transcription
If your browser does not render page correctly, please read the page content below
2020-2021 New Student Registration
REGISTRATION CHECKLIST 2020-2021
ALL STUDENTS NEW TO IPREP:
iPrep Academy Magnet Agreement 2020-2021
Declaration of Magnet Acceptance (On-line)
FLVS Transcripts /School Records - if Applicable for grades 9-10 (Final)
Media Release Consent Form (FM-7489)
Disclosure at time of Registration (FM-5740)
Student Information Form
Subject Selection Form (Grades 6-12)
NEW STUDENTS TO THE DISTRICT, PRIVATE SCHOOL TRANSFER, VPK ETC. – Parents must provide
school with Official Documentation.
AGE AND LEGAL NAME VERIFICATION (FM 6670)- Must provide one of the following:
Duly attested original birth certificate or birth card – must be original; hospital certificate not
acceptable.
Duly attested certificate of baptism with a parent affidavit.
Insurance policy on the child’s life in force for two years.
Bona fide bible record with parent affidavit.
Passport or certificate of arrival in the U.S. showing age of child.
Transcript of school records for at least four years’ prior, stating date of birth.
Affidavit of age signed by parent and certificate of age signed by public health officer.
VERIFICATION OF ADDRESS - Must provide any two of the following: (Can be two different utility bills)
Broker’s or Attorney’s statement of parents’ purchase of residence or properly executed lease
agreement.
Current homestead exemption card.
Utility bill (power, water or gas), showing name and service address.
Miami Dade County Public Schools Statement of Bona fide Residence (FM 7444).
HEALTH REQUIREMENTS - must provide both forms:
Student Health Examination- DH 3040 form providing proof of a physical exam done within 12
months prior to entry.
Florida Certificate of Immunization- DH 680 white or blue card from a private doctor or local
health provider.
VOLUNTARY PRE-KINDERGARTEN ONLY:
Original Eligibility and Enrollment Certificate (VPK ONLY)
For Certificate of Eligibility (COE) visit www.vpkhelp.org
Pre-Kindergarten Screening Consent (FM-5196)
STUDENT SCHOOL RECORDS (Private/NEW to M-DCPS)
For grade placement and verification of credits earned
Interpretation of foreign records available from Attendance Services
For Office Use Only:
STUDENT ID #: ___________________________ REGISTRATION DATE: ___________________
FUTURE CAPTURED DATE: _________________ INITIAL OF DATA INPUT: ___________________
Magnet School Agreement & Student Expectations
Student Name: ___________________________________ ID # _______________ GRADE:_______
I acknowledge that all students attending iPrep Academy are expected to be “Students in Good Standing” throughout
their academic career.
ACADEMIC & CONDUCT EXPECTATIONS FOR ALL IPREPARATORY ACADEMY STUDENTS:
• Maintain eligibility standards of cumulative unweighted (2.5) grade point average at the end of each semester in
all classes. Must not earn a letter grade of D or F in ANY class, in ANY 9-week grading period.
• Students are expected to maintain a conduct grade of “B” or higher in all classes, every grading period.
• Students are expected to adhere to iPrep Academy’s Ethics, Conduct, Dress Codes, and Technology Acceptable
Use Policies. Students may not alter school issued devices in any manner. This includes, downloading software,
making changes to appearance or circumventing security protocols.
• Students are expected to respect school property including but not limited to all computers and laptops,
furnishings and facilities. Students will be held financially responsible for damages to any equipment, furnishing
or school property.
• Students are expected to conduct personal affairs in such a way as to reflect positively on themselves and the
school. A student who engages in conduct that is detrimental to the learning environment of the school (including
faculty, staff, other students), whether it occurs on campus, off campus, or online will be disciplined according to
the Code of Student Conduct.
o This includes, but is not limited to:
§ Harassment, sexual and/ or cyber-bullying
§ Theft, extortion, arson
§ Use, sale, distribution or possession on school grounds of any weapons, drugs (and
paraphernalia), tobacco (and paraphernalia such as vape pens), liquor and/or fireworks
§ Habitual truancy, absenteeism, or Cheating/Plagiarism
• Students are expected to have no more than 10 absences or 10 tardies during the school year.
• Students are expected to abide by the school dress code (Grades 9-12) or school uniform policy (Grades 6-8).
• Students are required to participate in an Executive Internship during their 11th & 12th grade years and therefore
must meet eligibility criteria stipulated in the Internship Handbook provided by the MDCPS Office of Community
Engagement.
• SENIOR HIGH ONLY - Students are required to participate to complete 100 hours of community service.
A student at iPrep is a student at all times. Failure to adhere to these academic and conduct expectations will result in a
probation placement and/or withdrawal from iPrep Academy.
Student Name: _____________________________ Student Signature: ___________________________Date: ________
Parent Name: ______________________________ Parent Signature: ____________________________Date: ________
STUDENT INFORMATION
Student’s Name: ___________________________________________________________________________________
Last (apellido) First (nombre) Middle (Segundo)
Birthdate:________/______/______ Place of Birth:_________________________ Sex:______________
Mo. Day. Yr. City /State (sexo)
Mes / Dia / Año (lugar Nacimiento)
Address (dirección)_________________________________________ Phone (teléfono)___________________________
Father/Step-Father’s Name:_______________________________________ Work/cell phone: _____________________
(nombre del padre or padrastro) (teléfono/celular o del trabajo)
Place Employed: ________________________________________________ Occupation: _________________________
(lugar de trabajo) (occupación)
Mother/Step-Mother Name:_______________________________________ Work/cell phone: _____________________
(nombre del madre or madrastra) (teléfono/celular o del trabajo)
Place Employed: ________________________________________________ Occupation: _________________________
(lugar de trabajo) (occupación)
Name or person with whom pupil lives (if not parent):______________________________________________________
(nombre de la persona con quien vive el estudiante – si no son los padres)
Relationship:_________________________ Place Employed:____________________________ Phone: ______________
Emergencey Contact (other than parents) – Contact de Emergencia (aprate de los padres):
1. ___________________________________________________________________________________________
Name (nombre) Relation (parentesco) Phone (teléfono)
2. ___________________________________________________________________________________________
Name (nombre) Relation (parentesco) Phone (teléfono)
Name of last school attended: __________________________________________ City:___________________________
(Nombre de la última escuela que a aisistió) (ciudad)
Family Doctor (nombre del Dr.):_________________________________________ Phone (teléfono)_________________
Hospital preference (hospital de preferencia):_____________________________________________________________
# of brothers_________ # of sisters ___________ Attend this School: ________________
Pupil health data which should be known in emergency:
(datos sobre la salud del alumno que debemos saber en case de emergencia)
Parent’s Signature (firma de los padres): _________________________________________________________________
Date (fecha):___________________MIAMI-DADE COUNTY PUBLIC SCHOOLS
DISCLOSURE AT TIME OF REGISTRATION
Chapter 1006.07(1)(b), requires that nay student seeking admission to a public school in the State
of Florida will provide the following information at the time of initial registration:
1) Has the student ever been expelled for any school, in or out of the State of Florida?
YES NO
If your answer to question 1 is “YES”, please list each and every instance for which the
student was expelled.
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
2) Please state whether the student has ever been arrested where the arrest resulted
being formally charged. If your answer is “YES”, please list each and every arrest
which resulted in a formal charge.
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
3) Please state whether the student has ever been involved as a party in a case before
the Juvenile Justice System? If so, state each action taken by the Juvenile Justice
system which involved the student.
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
4) Please state whether the student has any corresponding referrals to mental health
services related to your answers to Questions 1,2, and 3. If yes, please list them.
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Student Name: ____________________________________Grade: _______ ID#__________
(Please Print)
Ethnic (Check all Race: White Black Asian
Hispanic _____ (Y/N) that apply)
American Indian Native Pacific Islander
Date of Birth_______________________ Parent’s/Guardian’s Name: __________________
Address: ___________________________________________________________________
Signature (Parent/Guardian) ___________________________
Student Signature ___________________________________ Date Signed ______________
FM-5740E Rev. (08-19)
You can also read
