2022-2023 Belle Isle Enterprise Application
Student Name
First Name
Last Name
Parent/Guardian Name
First Name
Last Name
Home/ Cell Phone Number
Please enter a valid phone number.
Work Phone Number
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Student Birthdate
-
Month
-
Day
Year
Date
Student's Current Grade Level
Please Select
4th Grade
5th Grade
6th Grade
7th Grade
OKCPS Student ID Number
2021-2022 School of Attendance
Other Schools Attended and Years Attended
For which grade do you seek admission to Belle Isle?
Please Select
5th grade
6th grade
7th grade
8th grade
Does the applicant have a brother or sister attending BIEMS now?
Please Select
YES
NO
If yes, what is his/her name?
Demographic Information
This information is requested by Oklahoma City Public Schools and is not a factor in the BIEMS selection process.
Student's Ethnicity
Asian
African American
Caucasian
Hispanic
Native American
Other
Gender
Male
Female
Parent/Guardian Acknowledgement: I wish for my child/children to attend Belle Isle Enterprise Middle School and understand that they will be expected to adhere to all rules and regulations set forth by the Belle Isle Enterprise Middle School and Oklahoma City Public School Board. I further understand Belle Isle Enterprise Middle School is an Oklahoma not-for profit corporation and does not discriminate against anyone on the basis of race, color, sex, religion, age, national origin, handicap, disability, or socioeconomic status in the application of its programs and activities. I also understand that students will be admitted to the Belle Isle Enterprise Middle School based upon the admissions policy of the school as approved by the Oklahoma City School Board. I have been provided with the admissions policy summary which summarizes the admissions policy the Belle Isle Enterprise Middle School has submitted for approval by the Oklahoma City School Board.
Student Signature
Date
-
Month
-
Day
Year
Date
Authorization
I, the undersigned, am the parent or guardian of:
Student Name
First Name
Last Name
Student Birthdate
-
Month
-
Day
Year
Date
I hereby give my permission for the release of the academic records of said child to any representative of Belle Isle Enterprise Middle School. I also authorize any school or school system to which this authorization is presented to accept a photocopy of this authorization rather than require the presentation of the original.
Proof of Residency
I hereby state that I am the parent or guardian of the student listed below, who resides with me at the following address:
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please attach an image of an original utility bill or other document which confirms your residency.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Parent Name
First Name
Last Name
Parent Signature
Statement of Authenticity of Report Cards
Depending on the grade level for which the student is applying, please submit the following report cards: 5th grade--2nd, 3rd and most current 4th grade report cards. 6th grade--3rd, 4th, and most current 5th grade report cards. 7th grade--4th grade, 5th grade, and most current 6th grade report cards. 8th grade--5th grade, 6th grade, and most current 7th grade report cards. By signing below, you are certifying that the copies of the report cards attached here are true and correct copies of the original report cards.
Parent/Guardian Name
First Name
Last Name
Signature
Report Card
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Report Card
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Report Card
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Teacher Recommendations
Please provide the names of up to three of your child's teachers (current or former) and their school email addresses. We will be contacting these teachers for recommendations for your child.
Teacher #1
First Name
Last Name
Teacher #1 Email
example@example.com
Teacher #2
First Name
Last Name
Teacher #2 Email
example@example.com
Teacher #3
First Name
Last Name
Teacher #3 Email
example@example.com
Submit
Should be Empty: