Greenwich Public Schools Registration Form printable pdf download

GREENWICH PUBLIC SCHOOLS

Registration Form

Starting School Date:_________

School:

Coming from School/Grade (including Nursery School): _________________________________________

 Yes  No

Has this student attended Greenwich Public Schools previously?

Year: ______ School: ______



Student Number: (LASID):

Grade: _____

Student First Name:

Student Middle Name:

Student Last Name:

Suffix: _______

Date of Birth: ___________

Gender: _____

House # Letter

Street Name

Apt #

Street:

Town, State, Zip:

Student's Birth Place:

City

State

Country

Dominant language information is required by state law

1. What was the first language your child learned to speak?________________________________________

2. What is the language you use in speaking to your child at home? _________________________________

3. What is the primary language your child uses when he/she speaks at home? _______________________

Ethnicity

 Yes

 No

Hispanic or Latino:

(Check one)

Race: (Check all that apply)

 African American or Black

 American Indian -

A person having origins in the original peoples of North, Central or South America

and who maintains tribal affiliation or community attachment

 Asian -

A person having origins in the original people of the Far East Southeast Asia or the Indian subcontinent including,

Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, or Vietnam.

 Caucasian -

A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.

 Pacific Islander or Native Hawaiian -

A person having origins in any of the original peoples of Hawaii, Guam, Samoa or Pacific Islands

Resides With:  Parents  Mother (only)  Father (only)  Parent/Stepparent

 Guardian

Mother:

First Name: ________________________ Last Name: _______________________________

Mother's Maiden Name:

Mother's Education Level [

]

Father:

First Name: ________________________ Last Name: _______________________________

Father's Education Level [

]

Stepparent or Guardian: First Name: _________________ Last Name: ____________________________

Education Level: 1 = Graduate Degree; 2 = Undergraduate Degree; 3 = Partial College; 4 = High School Graduate

5 = Partial High School; 6 = Junior High School; 7 = Less than 7 years of schooling

Siblings:

Name

Gender

Date of Birth

School

Continued on other side

Greenwich Public Schools Registration Form

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