Please indicate it your child has had any of these services:
Mark all races below which apply (must choose at least one race):
Signature MUST be student's Parent or Legal Guardian
We encourage you to make careful selections when choosing contacts. Please keep in mind that reliable contact information is VERY important and as phone numbers change frequently, keeping information current may become a challenge when there are more than 4 contacts.
PERSONS AUTHORIZED TO RELEASE STUDENT FROM SCHOOL OR CONTACT IN CASE OF EMERGENCY, OTHER THAN THE PARENT OR GUARDIAN (MUST BE 18 YEARS OR OLDER)
It will be the responsibility of the parent or guardian to update the above information as changes occur. If an emergency involving medical action or treatment is required and neither the parents or guardian nor the family physician can be contacted for consent, the parents hereby consent to the rendering of such medical services as shall be deemed necessary in the medical opinion of the Doctor rendering such service. This might also include ambulance service. It is understood by the signer that they are financially responsible for the expense of such services.
Local educational agencies are required to provide all children who reside within the school district with equal access to public education at the elementary and secondary level. The U.S. Supreme Court held in Plyer v. Doe, 457 U.S. 202 (1982), that the undocumented or non-citizen status of a student (or his or her parent/guardian) is irrelevant to that student’s entitlement to an elementary and secondary public education. However, pursuant to A.R.S. § 15-823, a school district or charter school may not include non-Arizona-resident pupils in their student count and may not obtain state aid for those pupils.
In Arizona, the “district of residence” of a student is determined by the residency of the parent or guardian with whom the student lives. In some cases, the district of residence may also be determined by the residency of a relative who is seeking legal guardianship or custody of a student. A.R.S. § 15-821(D). In addition, if a school district governing board determines that a student’s “physical, mental, moral or emotional health is best served by placement with a grandparent, brother, sister, stepbrother, stepsister, aunt or uncle who is a resident within the school district,” and the placement with that relative is not “solely for the purpose of obtaining an education in this state without payment of tuition,” the student is considered a resident of the district. A.R.S. § 15-823(C).1
Accordingly, it is the responsibility of the school districts and charter schools that receive state aid to ensure that student/parent residency information is accurate and verifiable. While a district may restrict attendance to district residents based on available classroom space,2 inquiring into students’ citizenship or immigration status, or that of their parents or guardians, is not relevant to establishing residency within the district. A school district or charter school may not bar a student from enrolling because he or she lacks a birth certificate or has records indicating a foreign place of birth, such as a foreign birth certificate.3
The Arizona Department of Education may audit schools to ensure that only Arizona resident students are reported for state aid. Any school district or charter school that cannot demonstrate the accuracy of any student’s residency through documents provided by the parent/guardian may be required to repay the state aid received for that student. The following are examples of verifiable documentation parents may provide to demonstrate that they reside in a district.
A.R.S. § 15-802(B) requires school districts and charter schools to obtain and maintain verifiable documentation of Arizona residency upon enrollment in an Arizona public school. This document is designed to assist school districts and charter schools in meeting the legal requirements of the statute.
The documentation required by A.R.S. § 15-802 must be provided at initial enrollment of a student in a school district or charter school in this state and reaffirmed, although not necessarily recollected, during the
1 See also Martinez v. Bynum, 461 U.S. 321 (1983). 2 Pursuant to A.R.S. § 15-816 and A.R.S. § 15-816.01, Arizona’s mandatory open enrollment policies allow a student to apply for admission and transfer to any public school of his or her choice, based on available classroom space, even if it is outside of the student’s district of residence. There are two basic types of open enrollment policies: 1) Intra-district: Students transfer to another school within the resident school district, or 2) Inter-district: Students transfer to a school outside of their resident district. 3 For more information, please read https://www2.ed.gov/about/offices/list/ocr/letters/colleague-201405.pdf.
district or charter’s annual registration process. This process will vary by the school, school district, or charter school (i.e. an annual form asking parents to confirm address).
Every school district or charter school is required,4 within 30 days of enrollment, to obtain a certified copy of a pupil’s birth certificate or other reliable proof of the pupil’s identity and age,5 or a letter from the authorized representative of an agency having custody of the pupil pursuant to title 8, chapter 2 certifying that the pupil has been placed in the custody of the agency as prescribed by law. A school district or charter school MAY seek photo identification from the person enrolling a student to ensure that the adult is entitled to enroll the student in school, as long such a requirement does NOT unlawfully bar a student from enrolling in school.6
In case of an ADE Audit, the school, school district or charter school will be asked what process is used and what documentation is obtained via this process. If the student’s residence has not changed, an affirmation (via a checkbox) that the previously provided proof of residency remains accurate should be sufficient. The documentation supporting Arizona residency should be maintained according to the school’s records retention schedule.
For members of the armed services, a school may enroll a student if the parent provides a hard-copy or electronic document of their transfer or pending transfer to a military installation within the state. The parent must provide official documentation of residency within ten days after the arrival date which may include a temporary on-base billeting facility as their address. PROOF OF RESIDENCY IS NOT REQUIRED FOR HOMELESS STUDENTS.7 42 U.S.C.§ 11 432(g)(3)(C)(i).
In general, students will fall into one of two groups: (1) those whose parent or legal guardian is able to provide documentation bearing his or her name and address; and (2) those whose parent or legal guardian cannot document his or her own residence because of extenuating circumstances including, but not limited to, that the family’s household is multi-generational. Different documentation is required for each circumstance.
1. Parent(s) or legal guardian(s) that maintains his or her own residence: The parent or legal guardian must complete and sign a form indicating his or her name, the name of the school district, school site, or charter school in which the student is being enrolled, and provide one of the following documents, which bear the parent or legal guardian’s full name and residential address or physical description of the property where the student resides (no P.O. Boxes):• Valid Arizona driver’s license, Arizona identification card• Valid Arizona motor vehicle registration• Valid Arizona Address Confidentiality Program authorization card• Property deed/Mortgage documents• Property tax bill• Rental agreement or lease (including Section 8 agreement or off-base military housing)• Utility bill (water, electric, gas, cable, phone)• Bank or credit card statement• W-2 wage statement• Payroll stub
4 A.R.S. §15-828. 5 Other proof of the pupil’s identity/age includes: pupil’s baptismal certificate, an application for social security number or original school registration records and an affidavit explaining inability to provide a copy of the birth certificate, A.R.S. § 15-828 (A)(1)-(3). 6 For more information, please read U.S. DOJ Civil Rights Division “Fact Sheet: Information on the Rights of All Children to Enroll in School”, https://www.justice.gov/sites/default/files/crt/legacy/2014/05/08/plylerfact.pdf. 7 Per A.R.S. §15-824 (C), "Homeless student" means a pupil who has a primary residence that is: (1) A supervised publicly or privately operated shelter designed to provide temporary living accommodations; (2) An institution that provides a temporary residence for individuals intended to be institutionalize or; (3) A public or private place not designed for, or ordinarily used as, a regular sleeping accommodation for human beings.
• Certificate of tribal enrollment (506 Form) or other identification issued by a recognized Indian tribe located in Arizona• Other documentation from a state, tribal, or federal agency (Social Security Administration, Veterans’ Administration, Arizona Department of Economic Security, etc.)• Temporary on-base billeting facility (for military families)
* A model Arizona Residency Documentation Form is available for schools at the end of this document.2. Parent(s) or legal guardian(s) that does not maintain his or her own residence: The parent or legal guardian must have an affidavit of shared residency form completed indicating his or her name, the name of the school district, school site, or charter school in which the student is being enrolled, and submit a signed, notarized affidavit for the person who maintains the residence where the student lives attesting to the fact that the student resides at that address, along with a document from the bulleted list bearing the name and address of the person who maintains the residence.* A model Affidavit of Shared Residence form is available for schools at the end of this document.
USE OF AND RETENTION OF DOCUMENTS BY SCHOOLS
School officials must retain a copy of the attestations or affidavits and copies of any supporting documentation presented for each student (photocopies acceptable) that school officials believe establish validity. Documents presented may be different in each circumstance, and unique to the living situation of the student. Documents retained by the school district or charter school may be used as an indication of residency; however, documentation is subject to audit by the Department.
Personally identifiable information other than name and address (SSN, account numbers, etc.) should be redacted from the documentation either by the parent/guardian or the school official prior to filing. MOST INFORMATION PROVIDED BY PARENTS AND GUARDIANS TO ARIZONA PUBLIC SCHOOLS IS AN EDUCATIONAL RECORD MADE CONFIDENTIAL UNDER THE FEDERAL EDUCATIONAL RIGHTS AND PRIVACY ACT AND ARIZONA LAW UNLESS DESIGNATED BY THE SCHOOL AS DIRECTORY INFORMATION. A PARENT OR GUARDIAN MAY OPT OUT OF DIRECTORY INFORMATION IN ACCORDANCE WITH DISTRICT POLICY. OTHERWISE, EDUCATIONAL RECORDS ARE ONLY USED FOR LEGITIMATE EDUCATIONAL PURPOSES.
Arizona Department of Education
Arizona Residency Documentation Form
As the Parent/Legal Guardian of the Student, I attest* that I am a resident of the State of Arizona and submit in support of this attestation a copy of the following document that displays my name and residential address or physical description of the property where the student resides:
I, (resident name) blanks wear or affirm that I am a resident of the State of Arizona and that the persons listed below reside with me at my residence, described as follows:.
State of Arizona Department of Education Office of English Language Acquisition Services
These questions are in compliance with Arizona Administrative Code, R7-2-306(B)(1), (2)(a-c).
Responses to these statements will be used to determine whether the student will be assessed for English Language Proficiency.
1535 West Jefferson Street, Phoenix, Arizona 85007 • 602-542-0753 • www.azed.gov/oelas
Estado de Arizona Departamento de Educacion
Servicios de Aprendizaje del Ingles
Preguntas en confonnidad con R7-2-306(B)(l ), (2)(a-c) del Reglamento de la Junta Directiva
Las respuestas que proporcione a las preguntas siguientes seran usadas para determinar si se evaluara la competencia en el idioma ingles de su hijo(a).
Please provide a copy of the Home Language Survey to the ELL Coordinator/Main Contact on site.
In SAIS, please indicate the student's home or primary language.
PLEASE NOTE: There is a 10 minute window before and after bus stop scheduled time.
For reasons of safety and liability, the transportation department needs the following information on each student. If your child will be riding the bus to or from school, please complete the following form and return it to the school.
You must establish one regular destination for student transportation to avoid and confusion and to keep transportation highly efficient.
It is VERY important to have current contact information for bus changes etc. Please notify the school when there is a change in contact information.
Parent or Guardian's please note: Under no circumstances will a kindergarten or Preschool student be let off the bus at the specified stop without a Parent or Guardian present to accept your child.
You have now completed the first part of the GUSD student registration. Once you click submit, you will be redirected to the second part of the student registration form.
If you have any problem please contact the school campus your child is attending