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Gadsden Elementary Magnet SchoolApplication for AdmissionStudent’s Name: _________________________________ Age: ______ Date of Birth: __________Current School: _________________________________Current Grade: _____________ Address: _____________________________________________ _____________________________________________Home Phone: __________________ Cell Phone: ____________________ Work #: ______________Emergency Contacts:Name: __________________________________Phone #: _______________________________Name: __________________________________Phone #: _______________________________Do you have other children, who currently attend Gadsden Elementary Magnet School? ___ Yes ___ NoIf so, please provide the name(s) _____________________________________________________Has your child been retained? ________ Yes ________ NoIf so, in what grade did the retention occur? _________Has your child received documented behavior interventions? (referrals, behavior plans, etc.)____Yes ____ No (Please provide a brief explanation)____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ I understand that final admittance will be based upon available space, recent state assessment scores, final report cards, and recommendations by my child’s current principal. If my child is accepted, I agree to support the school by attending parent meetings, communicating with the staff, and making sure my child is prepared to learn each day._______________________________________________Parent SignatureDate ................
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