Admissions Application for 2017-2018 Admissions Application for 2017-2018 Official online admissions application for Leroy Greene Academy. Student InformationStudent First Name*Student Last Name*Student is enrolling in:*(Please check which grade level your student will be in for the 17-18 school year)6th Grade7th Grade8th Grade9th Grade10th Grade11th Grade12th GradeBirth Date:*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Is student currently enrolled at LGA?*(check one)YesNoDoes this student have a sibling currently enrolled at LGA?*(check one)YesNoDoes this student currently have an IEP (Individualized Education Plan) in place?*This information is used to determine our ability to provide identified services. We ask that a copy of your student's most current IEP be provided for our team to review if the student is from outside the Natomas Unified School District.YesNo Demographic Information Student Birth Place:City*State/Province*CountryStudent's Home Telephone #:*Student's Gender:*MaleFemaleStudent's Physical Residence:* Street Address Address Line 2 City ZIP Code Parent/Guardian Name:* Relationship to Student:*Email Address:* Daytime Phone:*Cell Phone:Parent/Guardian Name (#2): Relationship to Student:Email Address: Daytime Phone:Cell Phone: Application Submission Please complete the following information and sign below: I request and authorize you to forward the confidential records of my student.Current School: (Required)*Current School District: (Please provide if outside Natomas Unified School District)Current School Address: (Only required for students outside of Natomas Unified School District) Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Current School Telephone #: (Not required for LGA students)Admission requirements, if applicable. California Education Code Section 47605 (b)(5)(H) The Charter School uses an open enrollment admission policy for all students, and does not discriminate on the basis of residency, gender, sexual orientation, disability, religion, national origin, ethnic and/or racial background, or achievement level. The Charter School does not charge tuition and is non-sectarian in its programs, admissions, and policies. Continued enrollment is dependent upon progress toward graduation and making satisfactory academic progress. Preference may be given in the following order; 1. Pupils currently attending the Charter School; 2. District pupils residing within the attendance area of the Charter School, as defined by the District; 3. Siblings of pupils currently attending the Charter School; 4. District pupils who meet the federal school guidelines for economic support known as “Title One” or “Free or Reduced Lunch” subsidy; and 5. All other pupils residing within the District. Students and parents/guardians are strongly urged to carefully consider the nature of the programs offered and the rigor of the curriculum prior to applying. If the number of pupils who wish to attend the Charter School exceeds the school’s capacity, attendance, except for existing pupils, shall be determined by a public random drawing in accordance with California Education Code section 47605(d)(2). The Charter School’s students are expected to act in a manner that is caring, confident, and demonstrates they are college bound. Upon enrollment, all students will receive a Student Handbook that covers academic, attendance, and behavior expectations. A student who fails to meet the academic, attendance or behavior expectations will be placed on a probationary contract after a meeting with student, parent/guardian, teachers, and the school principal. If the student fails to meet the criteria in the probationary contract, he or she may be dismissed from the Charter School and required to return to his or her school of record in accordance with the process outlined in the Student handbook. A student may be suspended and/or expelled if found in violation of California Education Code 48900 et seq. Students who reside outside the District’s attendance boundaries will be required to return to their district of record with written notice of the expellable offense to the District Superintendent of record. The Charter School has adopted all District policy, and federal and state laws as they pertain to the administration of discipline. Parent/Guardian Name:*This is your electronic signature First Last NameThis field is for validation purposes and should be left unchanged.