Rising Aviation Enrollment Packet

Thank you for considering Rising Aviation 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 submitted to the School’s Director of Administration by the parent or guardian. There are several required documents that will need to be provided along with the completed registration packet. We have provided the following list for your convenience.

Completed Forms Required
-Student Information
-Academic Information
-Exceptional Student Services Information
-Family Information
-Emergency Contact Information
-Medical Information and Emergency
-Medical Treatment Release
-Request to Administer OTC Medication
-Permission for Internet Usage
-Media and Personal Information Release
-Transportation Permission Form
-Request for Release of Student Records

Documents Required
-Birth Certificate
-Transcripts /
-Academic Progress
-Withdraw Form
-Immunization Records

If you have any questions, please contact the Director of Administration.

Melissa Meehan, Director of Administration
momeehan@risingaviation.com
15506 Wright Brothers Dr.
Addison, TX. 75001
469-206-3048 Office
Enrollment Application
Which school year are you applying for?
Last Name
First Name
Middle Name
Date of Birth
Age:
Gender:
Birth City:
Birth State
Current Mailing Address
Apartment #
City
State
Country
Zip
Student Phone
Student Email
Race & Ethnicity Data Collection
In accordance with federal guidance, a two-part question must be used to collect data about student race and ethnicity. The first part of the question is on ethnicity and the second is on race. The race question can have multiple values.
Part 1: Ethnicity (Is this student Hispanic or Latino?)

NoYes
Part 2: Race

American Indian or Alaska NativeAsianBlack or African AmericanNative Hawaiian or Other Pacific IslanderWhite
What was the last grade level completed?
Current or last high school attended?
City
State
Last Day Attended
Is the student behind on credits?

YesNo
Currently on:

ProbationParoleNA
Has the student been out of school for:

1-4 WeeksOne SemesterOne YearTwo Years
If Yes please exlplain:
What is the student's future job or career goals?
Exceptional Student Services (click all that apply)
In order to provide continuity in the educational environment, it is important that Rising Aviation High School be informed of any special education received by the student.
Does your student have any learning or behavioral needs?

YesNo
Does your student receive Special Education Services?

YesNo
The student has had Special Education testing or evaluations.

YesNo
The student has been enrolled in a special education program at another school.

YesNo
The student is on a 504 plan.

YesNo
The student is involved in an English as a second language program (ELL).

YesNo
Family Information:
Student Lives With:

Both ParentsMotherFatherRelativeLegal GuardianWard of the StateOther
Guardian 1:

MotherFatherLegal Guardian
Guardian 1 Full Name
Last/First/Middle
Home Address
City
State
Zip
Home Phone
Cell Phone
Email
Guardian 1 Signature

Clear
Guardian 2:

MotherFatherLegal Guardian
Guardian 2 Full Name
Last/First/Middle
Home Address
City
State
Zip
Home Phone
Cell Phone
Email
Guardian 2 Signature

Clear
Emergency Contact Information:
Relationship to Student
Emergency Contact 1 Full Name
Last/First/Middle
Home Address
City
State
Zip
Home Phone
Cell Phone
Email
Emergency Contact 2 Relation to Student
Last/First/Middle
Emergency Contact 2 Full Name
Last/First/Middle
Home Address
City
State
Zip
Home Phone
Cell Phone
Email
Release Forms & Permissions

Medical Information & Emergency Medical Treatment Release
*Please note that there is not a school nurse on campus
Does the student have any medical, physical, or mental health conditions thatthe school should be aware of?

YesNo
If yes, please explain:
Does the student need to take medications during the school day?

YesNo
If yes, please list medications, dosages, and time of day
Is the student allergic to any medications?

YesNo
If yes, please list medication allergies:
Is the student allergic to any foods?

YesNo
If yes, please list food allergies:
Medical Insurance Carrier
Policy Number
Name of Insured
ID Number
Physician Name
Phone Number
Guardian Signature

Clear
Date

MonthDayYear
Date
Release Forms & Permissions

Request to Administer OTC Medication

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.
Please check all OTC medications you give RAHS permission to administer to your child:

Acetaminophenibuprofenclear Eyes/TearshydrocortisoneAntihistaminecough dropsMidolTumsPepto Bismol
Please list any additional OTC medications that are to be provided by the parent/guardian:
Request to Administer Prescription Medication
Please list all prescribed medications you give RAHS permission to administer to your child:
Medication 1:
Dosage
Administer Number of pills/tsp:
at day/time:
Medication 2:
Dosage
Administer Number of pills/tsp:
at day/time:
Medication 3:
Dosage
Administer Number of pills/tsp:
at day/time:
Medication 4:
Dosage
Administer Number of pills/tsp:
at day/time:
I/We, the undersigned, give my/our permission for the staff of Rising Aviation High School to administer the medications listed on this sheet (including both over the counter (OTC) and/or prescription) to my/our child,
Child Name
Guardian Signature

Clear
Date

MonthDayYear
Date
Release Forms & Permissions

Permission for Internet Usage
This authorization does not replace the Technology Policy or imply permission to freely use the school’s Internet services for personal use.
I/We, the undersigned, authorize my/our child, ________________________________________, to use theworld wide web for research & classroom assignments/projects.
Type student name
Signature

Clear
Date

MonthDayYear
Date
Media & Personal Information Release
Rising Aviation High School, occasionally publishes/posts the first name and/or pictures of students involved in school activities on our website and other forms of media. This form gives Rising Aviation High School permission to include photographs and the name of your student in media publications, television, newspapers, articles, official school websites, brochures and any other form of media.

Choose one of the following to accept or decline:
I, ___________________________________, hereby grant Rising Aviation High School the above mediarelease and permission.
Type Name
I, ___________________________________, DO NOT grant Rising Aviation High School the above mediarelease and permission.
Type Name
Signature

Clear
Date

MonthDayYear
Date
Transportation Permission Form
It may become necessary for Rising Aviation High School to provide transportation or authorize transportation for your student for the purpose of: emergency medical treatment, school activities, or field trips.
I, ___________________________________, hereby give my permission to Rising Aviation High School
Guardian Name
or it’s authorized employees/agents to transport or authorize transportation my child,___________________________________, for emergency medical treatment, school activities, or field trips.
Student Name
I understand that by allowing Rising Aviation High School to transport my student to/from the above mentioned purposes, I agree to release Rising Aviation High School, its agents and employees, from and against any and all liability, loss, damages, claims or actions to the maximum extent permissible by law, arising out of such transportation.
Guardian Signature

Clear
Date

MonthDayYear
Date
Request for Release of Student Record

Request for Release of Student Record
Melissa Meehan, Director of Administration
momeehan@risingaviation.com
15506 Wright Brothers Dr.
Addison, TX. 75001
469-206-3048 Office
Please forward the transcript of ___________________________________________,
Student name
Student Date of Birth
Student DOB
Date enrolled at Rising Aviation

MonthDayYear
Date
Parent Guardian Signature

Clear
Date

MonthDayYear
Date
Should be Empty:

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