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SCHOOLS OF CHOICE APPLICATION FOR CLINTONDALE COMMUNITY SCHOOLS

2017/2018 School Year
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Welcome and thank you for your interest in our school district. During the application process we will need some important information in order to expedite and process your school application.

The following items are required to be submitted at the time of your application.
  • Schools of Choice Application
  • Enrollment Form
  • Copy of Birth Certificate
  • Copy of Shot Record
  • Child's most current report card. High school students must send current transcript
  • Affirmation of prior discipline letter signed by parent (We will send it to the school for a signature).
  • Permission for Release of Information (student records) signed by Parent/Guardian (this will only be sent if your child is accepted as a School of Choice student)
  • If your child is presently receiving any special services their most current IEP of special needs/accommodations is required to be submitted
  • Understanding Concussion
Please submit all of the above items, applications or questions to:
Ms. Kris Trobaugh
35200 Little Mack
Clinton Township, Michigan 48035.
586-791-6300 ext. 3010
Fax: 586-790-7643
Email to: trobaugk@clintondaleschools.net
PARENT/GUARDIAN IS RESPONSIBLE FOR TRANSPORTATION
Parent/Guardian Signature*
Date*
Notice of Nondiscrimination. It is the policy of Clintondale Community Schools not to discriminate on the basis of race, color, religion, national origin or ancestry, gender, age, disability, height, weight or marital status in its programs, services, activities, or employment. Inquiries related to nondiscrimination policies should be directed to: Civil Rights Coordinator, Business Manager, Clintondale Community Schools Administration, 35100 Little Mack, Clinton Township, Ml 48035 Phone: (586) 791 -6300. Nondiscrimination inquiries related to disability should be directed to: Section 504 Coordinator, Director for Special Education, (same address) Phone: (586) 791-6303

Clintondale Community SchoolsSchools of Choice Application (Section 105c)

2017/2018
  • Student’s Name:-*
  • Last Name:
  • First Name:
  • Birth Date:*
  • Age:*
  • Gender:*
  • Grade student will be entering in the fall or winter semester:*
  • Address:
  • City:
  • State:
  • Zip:
  • Home phone:
  • Work phone:
  • E-Mail Address:
  • In what school district do you currently reside?*
  • School district presently attending:
  • Current school address:
  • Current school phone:
If any other children residing in your household are also applying in the district, please list full name and grade and remember to fill out a separate application for each student.
  • Are you a new family to the district:
List siblings of student previously admitted under K-12.

Elementary School Aged Students
If you have an elementary age student (K-5) please indicate which of the three schools you would prefer for your student.

Rainbow Elementary, McGlinnen Elementary or Parker Elementary
Elementary of your choice:
  • 1St choice building:
  • 2nd choice building:
  • 3rd choice building:
Child’s Name and Present Grade:
  • First Name:
  • Last Name:
  • Present Grade: