Plainfield Community Consolidated School District 202

Plainfield Community Consolidated School District 202

We prepare learners for the future.

Administration Center 15732 Howard Street Plainfield, IL 60544

(815) 577-4000 ? telephone Web:

Preschool New Student Registration Checklist

NOT SETUP FOR TWO SIDED PRINTING

The following items are required for Preschool Registration:

1. Completed registration packet

2. Certified birth certificate ? Please provide the Official Certified Birth Certificate with raised seal issued by the county/country in which the student was born. We do not accept any decorative hospital issued certificates.

3. Photo identification (or Passport) of person enrolling the student

4. Any existing legal custody, divorce decree, or guardianship documents ? If there are any legal documents pertaining to the custody of the student, you must provide a copy.

5. Physical must be dated on or after August 18, 2021.

6. Current immunizations must be noted on the physical. (see health letter) ? Students without a physical examination who have a list of currently required immunizations will not be allowed to start on the first day of school.

7. Most recent individualized education plan (IEP), if applicable.

8. Payment of Fees ? Either payment in full at time of registration or confirmation of payment plan through District 202.

9. 3 Current Proofs of Residency (see next page and enrollment form)

NOTE: ? Documents that must be turned in are listed on the next page in the column named

Registration Forms to be Turned In.

? Documents that are for your information or are optional dependent on living situations are listed on the next page in the column named Registration Paperwork for Reference.

NOT SETUP FOR TWO SIDED PRINTING

Plainfield Community Consolidated School District 202 Student Registration Overview

Proofs must be in the Parent/Guardian name with an address that is within School District 202 Boundaries. 3 proofs are required, with at least one document from category A and one document from category B.

Category A ? Current Residency Recent real estate tax bill Lease (signed showing date of occupancy with landlord's name and phone number) Settlement statement (signed and within 30 days) Truth in lending statement (signed and within 30 days) Warranty deed (within 30 days) Mortgage statement / Payment book (within 30 days) Bill of Sale (within 30 days) Military housing letter Residency affidavit (Completed and Notarized)

Category B ? Current Residency

MUST BE ISSUED WITHIN THE LAST

MUST BE ISSUED WITHIN THE LAST

3 MONTHS

30 DAYS

Auto registration

Cable bill

Homeowners or renters insurance

Utility bill (gas, electric, water)

State identification (within last 6 months)

Letter from government agency

Photo identification from foreign consulate

Bank statement

Page(s) 3 - 5 6 - 7 8 - 10 11 13 14 - 15 16 17 18 - 19

Registration Forms to be Turned In Enrollment form Early Learning Requirements Student registration contact information Military personnel questionnaire Race and ethnicity form Home language survey Acceptable use of technology form Health history form Physical form with current immunizations

Page(s) 20

21 12 22 - 23 24 - 25

Registration Paperwork for Reference School supply list District 202 school calendar Health letter Race and ethnicity information letter Optional ? Alternate Transportation Form Optional ? Medication Authorization

Fee statement and information will be sent in summer

** Note: If you do not own or rent the home in which you are residing, please obtain the student residency affidavit along with the proofs listed above. **

Plainfield Community Consolidated School District 202

We prepare learners for the future.

Administration Center 15732 Howard Street Plainfield, IL 60544

(815) 577-4000 ? telephone Web:

Enrollment Form

Student Residency Requirements

Page 1 of 3

Directions: Carefully read and complete each of the following sections. You are required to provide both proof of residency documents and custodial information.

Residency of Person with Legal Custody of the Student

As initial proof of residency, the person with legal custody of the student and with whom the student lives within School District 202 boundaries must provide at least one document from Category A and at least one documents from Category B. (A total of three documents is required).

In order to enroll without established residency, proof of future residency as described in Category C along with a $350.00 nonrefundable fee per family is required.

Category A and B documents must be submitted when actual occupancy occurs. If the registering adult claims the student is homeless, Category D applies.

NOTE: If you do not own or rent the home in which you are residing, you are required to submit the residency affidavit along with the proofs of residency and may require additional paperwork. Proof of residency must be provided every year if the student is enrolled based upon a third party or lease.

Identifying Information: (To be completed by the person with legal custody of the student. Please print.)

Your name Phone number(s) Current address

Future Address (if under contract)

Student's name Relation to student School

Home:

Cell:

Work:

Address:

City:

State:

Zip Code:

Subdivision:

Address:

City:

State:

Zip Code:

Subdivision:

Grade Entering

Re-enrollment? Yes No

Mother Father Step-Mother Step-Father Aunt Uncle Guardian Other:

Page 3

ONLY THE DOCUMENTS LISTED BELOW ARE PSD APPROVED PROOFS.

ALL PROOFS ARE TIME SENSITIVE AS NOTED.

ALL DOCUMENTS MUST SHOW SERVICE/PROPERTY ADDRESS AND ISSUE/EFFECTIVE DATE.

PAYMENT COUPONS ARE NOT A VALID PROOF.

MUST SUBMIT FULL PAGE OR TOP PORTION OF THE BILL.

Plainfield Community Consolidated School District 202 Page 2 of 3

Enrollment Form - Residency Requirements Checklist

To Prove CURRENT Residency in School District 202: Proofs must be in the Parent/Guardian name with an address that is within School District 202 Boundaries. 3 proofs are required, with at least one document from category A and one document from category B.

Category A ? Current Residency Recent real estate tax bill Lease (signed showing date of occupancy with landlord's name and phone number) Settlement statement (signed and within 30 days) Truth in lending statement (signed and within 30 days) Warranty deed (within 30 days) Mortgage statement / Payment book (within 30 days) Bill of Sale (within 30 days) Military housing letter Residency affidavit (Completed and Notarized)

Category B ? Current Residency

MUST BE ISSUED WITHIN THE LAST

MUST BE ISSUED WITHIN THE LAST

3 MONTHS

30 DAYS

Auto registration

Cable bill

Homeowners or renters insurance

Utility bill (gas, electric, water)

State identification (within last 6 months)

Letter from government agency

Photo identification from foreign consulate

Bank statement

To prove FUTURE residency in School District 202: One proof is required as described below

Category C - All non-residents must move into the Plainfield School District boundaries within 120 calendar days, provide proof of residency within 2 weeks after moving into the District and pay a $350.00 non-refundable fee per family.

A fully executed purchase agreement stating an approximate closing date A fully executed sales contract, showing no unsatisfied contingencies A fully signed lease with occupancy beginning the 1st day of student attendance

To enroll student as "Homeless" in School District 202: Mark below. Category D - Homeless

None of the documents in Categories A, B, or C above are applicable because the student is homeless and eligible for enrollment under the Illinois Education for Homeless Children Act. Please notify your student's school to speak with the Homeless Liaison.

Page 4

Enrollment Form - Proof of Custody

Page 3 of 3

To Prove CUSTODY in School District 202: You must check one of the following descriptions in either, Grounds for Legal Custody OR Exceptions. Additional paperwork may be required.

Grounds for Legal Custody Check one of the following as applicable. If none is applicable, you must check one of the "Exceptions" noted below.

Custody is exercised by a natural or an adoptive parent with whom the student resides.

Custody has been granted by court order to a person with whom the student resides for reasons other than to have access to the educational programs of this District. (Attach copy of court order) Custody is exercised under a court approved short-term guardianship. (Attach copy of court order)

Custody is exercised by a caretaker adult relative who is receiving aid under the Illinois Public Aid Code for the student who resides with that caretaker for the purposes other than to have access to the educational programs of this District. (Attach copy of Public Aid documents) Custody is exercised by an adult who demonstrates that, in fact, he or she has assumed and exercises legal responsibility for the student and provides the student with a regular fixed nighttime dwelling for purposes other than to have access to the educational programs of this District. (Attach completed & notarized guardianship affidavit - MUST be approved by school administration) Additional Information or Explanation:

Exceptions If none of the above "Grounds for Legal Custody" apply, you must check one of the "Exceptions" noted below.

The student is homeless. The student is a foreign exchange student. The student has been placed with a foster parent or child care facility by the Department of Children and Family Services outside this District, but DCFS has determined it to be in the best interests of the student to maintain attendance in this District! (Attach copy of DCFS determination) The student is at least 18 years old and lives in this District on a full and indefinite length of time basis.

The student is under 18, but has been emancipated by court order or marriage and lives in this District on a full and indefinite length of time basis. (Attach copy of court order or marriage license)

Warnings and Affirmation

Generally, Illinois law permits only students who are residents of School District 202 to enroll and attend on a tuition-free basis. Under the law, the residence of a student is deemed to be the residence of the person who has legal custody of the student. "If a pupil is determined to be a nonresident of the District for whom tuition is required to be charged pursuant to this section, the School Board shall refuse to permit the pupil to continue attending the schools of the District unless the required tuition is paid for the pupil." "A person who knowingly or willfully presents to any School District any false information regarding the residency of a pupil for the purpose of enabling that pupil to attend any school in that District without the payment of a non-resident tuition charge shall be guilty of a Class C Misdemeanor." (l05 ILCS 5/10-20.12b) Illinois law has made it a crime, punishable by imprisonment and fine, to knowingly or willfully present any false information regarding the residency of a student for purposes of enabling that student to attend on a tuition-free basis or to knowingly enroll or attempt to enroll a student on a tuition-free basis when the student is known to be a non-resident of the District. The School District will seek prosecution to the full extent of the law of any person who the district believes has committed any residency-related crime. Additionally, a civil lawsuit may be initiated by the School District. I affirm that I am a resident of this District and that the information presented in this Affidavit or in connection with any investigation of my residency or the residency of the student is true, complete, and accurate.

I also give approval for the release of information to District 202 to obtain any documents or information to verify my residency. This release remains valid with no exception.

Signature of Person with Legal Custody of the Student

Date

Page 5

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