• ENROLLMENT DOCUMENTATION

  • Thank you for considering Eastpointe High School for your student’s educational needs and for allowing us to share with you the benefits and opportunities available at our school.

    In an effort to review and process your student’s registration packet in an efficient and timely manner and to have our records in compliance, all forms should be turned into the School Office by the Parent or Guardian. There are several requested documents that will need to be provided along with the completed registration packet. We have included the following list for your convenience.

     

    Enrollment Documents:

    -Enrollment Forms

    -Medical/Transportation Authorization

    -Family Educational Rights and Privacy Act

    -Home Language Survey

    -Arizona Residency Form

     

    Additional Information Requested to Complete the Enrollment Process:

    -Proof of Residency

    -Birth Certificate

    -Immunization Records

    -Transcripts/Academic Progress

    -AZ Merit Test Results/Academic Assessments

    -Withdrawal Form from Previous School

    -Current IEP (if applicable)

    -Most Current 504 Plan with Documentation (if applicable)

     

    If you need help or have questions with this form please call 602-562-0335
    Mon - Fri: 9:00am - 4:00pm.

     

  • ADDITIONAL INFORMATION REQUIRED TO COMPLETE THE ENROLLMENT PROCESS.

  • 2022/2023 Enrollment Packet

  • APPLICANT INFORMATION

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  • FAMILY

  • If both wish to recieve mailings please include 2nd mailing address.

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  • EMERGENCY CONTACT 1

  • EMERGENCY CONTACT 2

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  • Demographic Questions

  • Referred By:

  • Permission for internet usage

    This does not replace the technology policy or imply permission to use the school's internet services. Publication of this data is not required to use internet services. By typing your name and your student's name below authorize the student to use the world wide web for research and classroom assignments/projects.
  • CPR Course Waiver

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  • Part 1 Ethinicity:

  • Part 2 Race:

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  • STUDENT EMERGENCY INFORMATION AND TRANSPORTATION PERMISSION FORM (2020/2021)

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  • I authorize a school representative to dispense my students medication according to the instructions. If my student's medication changes, I will notify the school immediatley. I understand students are not to keep their own prescription medications. I will notify the school in advince if my student requires an inhaler during school hours. 

  • I hereby give permission for my student listed above to be transported by Eastpointe High School for the purpose of school related activities.

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  • I also give agents of Eastpointe High School permission to authorize any emergency medical treatment that may become necessary while my student is in school in the event that I cannot be reached. Furthermore, I realize that any expenses related to medical attention given are my responsibility.

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  • In case of injury or sudden illness, I hereby give authority to any hospital or doctor to render immediate aide as might be required at the time, for his/her health and safety. I understand that the expense of this service will be my responsibility.

  • For school personnel to administer medication, the following requests are made

    All medication must be in the original properly labeled container.

    NOTE: No more than one week of medications are to be held in the school office for students.

    Any Additional OTC medications are to be provided by the parent/guardian.

     

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  • Academic Information

  • Educational Background/Accomodations

    Exceptional Student Services (check all that apply)In order to provide continuity in the educational environment, it is important that Eastpointe High School be informed of any special education services received by your child.
  • INCLUSIVE EDUCATION PHILOSOPHY

  • Eastpointe High School embraces the philosophy of inclusion, believing that special education students can best be educated in the regular classroom. Our teachers accept responsibility for all students in their classroom and modify, accommodate and adjust teaching techniques and classroom activities to meet the unique learning abilities of all students. Special education staff supports the regular classroom teacher with this process. There are not two distinctly different types of students, e.g. “special” and “regular”. All students are individuals with their own unique set of physical, intellectual and psychological characteristics that influence their instructional needs. There are not two discrete sets of instructional methods – one set for “special” students and another for “regular” students. Individualized instructional programs are designed for each student.

  • BASIC BELIEFS AND EXPECTATIONS

    • • All students are educated with chronologically age appropriate peers. • All students are educated full time in the general education classroom. • All students learn and develop individually and the curriculum is modified or adapted to allow students to progress at their individual rates. Students are not penalized for the inability to progress at grade level. • General education teachers assume responsibility to teach and meet the cognitive, affective and social needs of all students with special education teachers and staff providing support. • Teaching strategies that facilitate the education of multi-level abilities in each class are used by all teachers (e.g. cooperative learning, project learning, mastery learning, and curriculum compacting, independent projects, flexible groupings, learning centers, and teaching to learning styles such as visual, auditory and manipulative

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  • Student Residency Questionnaire

  • This questionnaire is intended to address the McKinney-Vento Assistance Act, Sec. 725; 42 U.S.C. 11435. Your answers will help us determine residency information necessary for potential services for this student.

  • Presently, where is the student living? Check one box in Section A or Section B.

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  • 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:

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  • Primary Home Language Other Than English (PHLOTE) Home Language Survey

  • These questions are in compliance with Arizona Administrative Code, R7-2-306(B1), (2a-c

    Responses to these statements will be used to determine whether the student will be assessed for English Language Proficiency.

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  • Request for Release of Student Records

    Please forward the transcripts of the following student who enrolled at Eastpointe High School.
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  • Guidelines to Determine Eligible Students

    The Arizona Department of Education provides the following FY 2022 Income Guidelines for determining eligibility information for federalfunding associated with programs funded under the Elementary and Secondary Education Act (ESEA).
  • 2022-2023 Application for Free and Reduced-Price School Meals

    Complete one application per household.
  • STEP 1: List ALL infants, children, and students up to and including grade 12 in your household. (if more spaces are required please reach out to Eastpointe staff)

     

    Definition of Household Member: “Anyone who is living with you and shares income and expenses, even if not related.” Children in Foster care and children who meet the definition of Homeless, Migrant or Runaway are eligible for free meals.

  • If you answered NO > Complete step 3.

    If you answered YES > Write a case number here then go to step 4 (Do not complete step 3)

  • B. All Adult Household Members (including yourself) List only the Adult Household Members (including yourself) even if they do not receive income. For each Household Member listed, if they do receive income, report total GROSS income (amount before taxes and deductions) for each source in whole dollars only. If they do not receive income from any source, write ‘0’. If you enter ‘0’ or leave any fields blank, you are certifying (promising) that there is no income to report.

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  • I hereby certify that all of the above information is true and correct.

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