Marietta City Schools-Magnet Application



-2251710-32575500 Magnet ApplicationComplete one application per child.Enrollment for students residing inside and outside the Marietta City Schools district commences Monday, November 12, 2018 for the 2019-20 school year. The enrollment period closes 10 business days after the last day of school for in-district students. The enrollment period for out-of-district students closes the second Monday in March each year.Please print or type all information - to be valid an application must be completed, signed and dated by a parent or guardian. Please return completed application to the appropriate school: MCAA (grades 3-5), MSGA (grade 6), MMS (grades 7 &8).Student InformationStudent’s Name: _______________________________________________________________________LastFirstMiddleStudent’s Social Security #: __________-_________-__________Home Address: ____________________________________________________________________________________StreetCityStateZip Mailing Address: _____________________________________________________________________________(If different from home address) StreetCityStateZipDate of Birth: _____/____/_____ Age: ___ Sex: ____M____F Phone Number: ( _____ ) ____________________monthdayyearHome Current Grade: ______ Current School: _______________________ Employee Child: Yes or NoNationally Normed Standardized Test Scores: Test Name_______________ Test Date______ Reading _____Math _______ Parent/Guardian InformationStudent lives with: ___Both parents ___Mother only ___Father only ___Parent/Step-Parent ___Other relative ___OtherFather’s Name: _________________________Employer:________________________________ Phone: ________________/________________ work cellAddress:_________________________________________________________E-mail:______________________________________Mother’s Name: _________________________Employer:_______________________________ Phone: _______________/________________ work cellAddress:_________________________________________________________E-mail:______________________________________Step-Parent/Guardian Name: _____________________Employer: ________________________Phone: ________________/________________ work cellAddress:_________________________________________________________E-mail:______________________________________Emergency Contact Person:_______________________________________________ Phone: _______________________________By signing below the parent affirms that all application information is accurate. The parent affirms his/her understanding that, if accepted, his/her child will remain in the magnet program for the entire school year unless the family relocates outside the Marietta City Schools district or is removed from the program for a reason such as failing to meet academic, attendance, or behavioral requirements. The parent also acknowledges that by signing below, no changes can be made for placement back to the home school after January 31 without approval from the Superintendent’s Office or designee.Parent/Guardian Signature: _________________________________________ Signature Date________________________ (A parent or guardian must sign this application for it to be valid.)REQUIREMENTSOFFICE USE ONLYApplications must be submitted with all other required documentation(See listing below for required documentation.) Nationally normed standardized test scores within one calendar year of application in Reading AND Math must be 75%tile or above Applicants must have GPA of 3.0 or above Uniforms will be mandatory Selection is based upon a longitudinal review of academics, behavior, attendance and tardy reports.For questions or assistance, call the school where your student will be enrolling (Phone numbers are on the bottom of this page.)Date Received: __________ Input Date: _________ Grade Point Average - Reading _______ Math _______ Writing _______Test Scores - Reading _______ Math _______Selection Date: ______________ Acceptance Date: ______________ Application Withdrawn _______ Reason: _________________________Decline Date: ______________ Reason: _________________________Please Submit ALL of the following documents for admission to MCAA/Middle Grades Magnet:Please submit ALL of the following documents when applying for admission. Application documents can be found on the school website, or you can obtain copies from our enrollment specialist in the applicable building. Incomplete applications will not be accepted. Marietta City Schools Magnet ApplicationMarietta City Schools Registration (completed online)Most recent report card or transcript from last school attended. GPA must be 3.0 or higher. History of satisfactory behavior and attendance required. MCS Enrollment AgreementProof of residency (choose A, B, or C).Lease, rental agreement or rent receipt consisting of written evidence that the agreement is valid and current AND a current utility bill (gas, electric, water, home telephone or cable TV). Do not submit a cell phone bill. Records must include the name and street address of the parent/guardian.A current residential property tax statement or deed AND a current utility bill (see above).A third person affidavit of residency signed and notarized (valid for thirty days, if temporary) AND (A) lease or rental agreement consisting of written evidence that the agreement is valid and current AND a current utility bill OR (B) current residential property tax statement or deed AND current utility bill. Records must include the name and address of the third person signee. In addition to the documents above, out of district applicants must submit the following:Birth Certificate (copy acceptable)Hearing, Dental and Screening Certificate (GA form 3300)Certificate of Immunization (GA form 3231)Social Security CardNon Resident Student Enrollment Application ContractPreferred - Copy of most recent nationally normed standardized test scores (e.g. ITBS, MAP, CAT, Standford-10) for both reading and math (total for each must be in the 75 percentile or above to meet qualification requirements. If you do not have these scores, please let us know. Marietta Center for Advanced Academics311 Aviation RoadMarietta GA 30060Phone: (770) 420-0822Marietta Sixth Grade Academy340 Aviation Road SEMarietta GA 30060Phone: (770) 429-3115Marietta Middle School121 Winn Street NWMarietta GA 30064Phone: (770) 422-0311 ................
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