Re-Enrollment Form

Dear Parents/Guardians of Sequoia Secondary Students,

Space is limited for the 2017-2018 School Year. Please reserve your child’s space by submitting the Re-Enrollment form below. Please do so no later than Tuesday, February 28, 2017.

Grades 7-12

Student’s Legal Name (Last, First, Middle):
Current Grade:
Home Address:
City:
  
State:
  
Zip:
  
Mother / Legal Guardian (Last, First, Middle):
Home Phone Number:
Father / Legal Guardian (Last, First, Middle):
Home Phone Number:
Is the student currently in Special Education?
YES NO If Yes, Category / Service Type:
Is the student currently in an English Language Learner (ELL) program?
YES NO
PLEASE CHOOSE ONE
I ( DO Do NOT ) intend to re-enroll my child in Sequoia Secondary Charter School for the 2017-2018 School Year.
Parent Signature
Date

IF YOU ARE NOT RETURNING
(Please fill out the portion below)

Reason for Withdrawing:
Please choose one:
Did the school meet your academic expectations? YES NO
Comments:
Please choose one:
Would you recommend this school to others? YES NO
Comments:
Suggestions you have for improving the school: