Overview
Work History
Registration Checklist
New Student Registration Forms
Parent/ Legal Guardian #1
Parent/ Legal Guardian #2
Sibling Status Qualification
Emergency Contacts OTHER than Parent/Legal Guardian
AFFIRMATION
RESPECT- RESPONSIBILITY- SAFETY
Withdrawal Policy
PROOF OF RESIDENCY & PROCEDURE
RESIDENCY AFFIDAVIT
HOME LANGUAGE SURVEY
Student Data - Race and Ethnicity
STUDENT PHOTO RELEASE FORM
RELEASE OF RECORDS REQUEST
New Student Sibling Verification
STUDENT HEALTH AND EMERGENCY INFORMATION FORM
Looking for Carpool Family
Timeline
Generic

Martha Sandoval

Attleboro

Overview

4
4
years of professional experience

Work History

Coding and Packing

Sensata Technologies
02.2016 - 09.2019

I am starting from 2016 to 2019 I love my job but I need to grow in mi life so I am starting to look for different career I stop working for a little bit so I started to study for a CNA .

Registration Checklist

  • The Offer of Enrollment email contains a link to schedule a registration appointment, you may also contact outreach@foxboroughrcs.org
  • Please bring this registration packet filled out and the required documents below to your appointment or we will need to request that you reschedule within the enrollment period
  • A parent/legal guardian is required to register within the 7 in session school day’s enrollment offer period specified in both the email and letter
  • IMPORTANT TO KNOW
  • Your child has been offered enrollment in a specific grade level based on their lottery application. Per the Policy & Procedures, we are unable to accommodate requests for any grade level change.
  • A fee based regional transportation program is available to registered students. Please see school website foxboroughrcs.org for more information.
  • Required Documents Needed At Registration Appointment
  • 1. Original Student’s Birth Certificate (original or certified copy NOT a Xerox copy) – and, if applicable, immigration records with original or certified copy of foreign birth certificate
  • 2. Proof of Residence and Occupancy: driver’s license w/address, voter registration card, mortgage certificate, utility bill
  • 3. Proof of Identity – please provide at least one: Driver’s License/State Issued ID/Military ID or Passport
  • 4. Current Immunization Record
  • 5. Physical Examination Form (conducted within the past 365 days)
  • 6. Most Recent Report Card including any PreK Evaluation
  • Additional Required Items to Bring to Your Appointment (if applicable)
  • 1. Copy of student’s Individualized Education Program (IEP)
  • 2. Copy of student’s 504 Plan
  • 3. ACCESS Test Results (ESL/MLL Testing, if applicable)

New Student Registration Forms

  • Student Name: First Middle Last
  • Address: Street City State Zip
  • Telephone: Gender: M F Other
  • Student resides full time with: Mother Father Other
  • Birth date: City of Birth:
  • School/PreK in which student is currently enrolled:
  • KINDERGARTEN ONLY (circle as many that apply to you)
  • 1. No formal early program
  • 2. CFCE (Coordinated Family & Community Engagement)
  • 3. PCHP (Parent Child Home Program)
  • 4. Both 2 & 3
  • 5. Licensed Family Child Care Provider +20 or -20 per week
  • 6. Center Based Program +20 or -20 per week
  • 7. Both Family Child Care Provider & Center Based Program +20 or -20 per week
  • PLEASE CIRCLE IF STUDENT SERVICES APPLY
  • Providing a copy of the IEP and/or plan is mandatory at registration
  • Individualized Education Plan (IEP) OR 504 Plan OR ESL Plan
  • Copy Attached: No Copy Attached:
  • Parent Signature/Date:

Parent/ Legal Guardian #1

  • Name: First Last
  • Relationship to Child:
  • Home Address: (if different from student) Street City State Zip
  • Land Line Phone: Cell Phone:
  • Work Phone: E-Mail:
  • Employer: Occupation:
  • Employer Address:

Parent/ Legal Guardian #2

  • Name: First Last
  • Relationship to Child:
  • Home Address: (if different from student) Street City State Zip
  • Land Line Phone: Cell Phone:
  • Work Phone: E-Mail:
  • Employer: Occupation:
  • Employer Address:

Sibling Status Qualification

  • A birth certificate must be submitted for any other applicant that you have on the waitlist or currently enrolled.
  • Upon receipt of the birth certificate(s) showing proof; waitlist sibling status will be updated.
  • Per the enrollment policy, a sibling must share a biological or legally adopted parent to qualify.
  • Siblings Name Currently Enrolled at FRCS:
  • Grade:
  • Siblings Name on Waitlist:

Emergency Contacts OTHER than Parent/Legal Guardian

  • Parent/Legal Guardian will always be contacted first. In the event they are not available, who should be contacted in case of emergency? Please Print Clearly
  • Name:
  • Relationship to child: Phone:

AFFIRMATION

  • I acknowledge that the information provided by me in completing the registration form is true to the best of my knowledge.
  • I also give permission to the Foxborough Regional Charter School to request and to receive copies of my child’s current immunization and recent school records.
  • Parent/ Legal Guardian Signature Date

RESPECT- RESPONSIBILITY- SAFETY

  • Parent/ Guardian Understanding of Expectations
  • I understand that the Foxborough Regional Charter School mission supports a rigorous academic program, a priority on community service and a requirement of student leadership.
  • As long as my child is enrolled in this program I am prepared to be an active partner in his/her education in the following ways:
  • 1. I will participate in school activities
  • 2. I will volunteer for classroom and school wide opportunities
  • 3. I will actively engage in ways to support my child in his academic achievement
  • 4. I will openly communicate with my child’s teacher(s) in ways to partner in supporting my child’s education
  • 5. I will ensure that my child is in compliance with daily dress code policy
  • 6. I will ensure that my child attends school regularly, is on time and is prepared to work each day
  • 7. I understand that should the nurse deem my child too ill or contagious to return to the regular academic setting, I am required to pick my child up within an hour of notification.
  • Parent Signature Date

Withdrawal Policy

  • Students may withdraw from FRCS at any time. A student is considered withdrawn from FRCS, and a vacancy may be declared for a position, if (1) a student transfers to another school; (2) FRCS receives written notification from a parent/guardian of intent to remove a student or (3) FRCS receives a written request for records from another school.
  • To regain entry into FRCS, a student who withdraws, as described above, must reapply and participate in the enrollment lottery process.
  • I have read and understand the above:
  • Signature of Parent/ Legal Guardian Date

PROOF OF RESIDENCY & PROCEDURE

  • “Residence” is the primary place where a person dwells permanently, not temporarily, and is the place that is the center of student’s domestic, social and civic life. Temporary residence in one of Foxborough Regional Charter School’s ‘Sending’ Districts, solely for the purpose of attending FRCS shall not be considered residency. Before any student is enrolled in Foxborough Regional Charter School, the student’s parent or legal guardian MUST PROVE LEGAL RESIDENCE PER THE FOXBOROUGH REGIONAL CHARTER SCHOOL ENROLLMENT POLICY.
  • All applicants must submit proof of residency evidenced by at least one document from the following list:
  • All bills/documents must be current and dated within the last 30 days & must be in either parent/guardian’s name.
  • Voter Registration Card
  • Copy of deed AND most recent mortgage payment
  • Copy of lease (student’s name must be on lease) and copy of most recent rent payment
  • Section 8 agreement
  • Current insurance Bill/Policy with address listed
  • Current vehicle registration with address
  • W-2/tax return (past year)
  • Current property/vehicle tax bill
  • Current Electric, cable, gas or water bill

RESIDENCY AFFIDAVIT

  • I (parent/legal guardian) certify that the following child is residing with me at the address listed below:
  • Street Address, City, Zip Code
  • Parent/Legal Guardian: Please initial to acknowledge that you have read and understand each statement.
  • 1. I understand that this statement is being made in order to provide proof of residency so that the above named child may be admitted to Foxborough Regional Charter School.
  • 2. I understand that falsification of any information on this form may result in the offer of enrollment being withdrawn.
  • 3. I understand that a student admitted under false information is illegally enrolled and will be dismissed upon discovery.
  • 4. I attest that I do not live at any other residence. I understand that if I change my residence, I will immediately provide the school with proof of address.
  • 5. Please check if applicable Military Foster Care McKinney-Vento Unaccompanied Youth
  • Signature of Parent/ Legal Guardian Date

HOME LANGUAGE SURVEY

  • State and federal law require that all schools determine the language(s) spoken in each student’s home in order to identify their specific language needs. This information is essential in order for schools to provide meaningful instruction for all students. If a language other than English is spoken in the home, the district is required to do further assessment of your child. Please help us meet this important requirement by answering the following questions. Thank you for your assistance.
  • Student Information
  • First Name Middle Name Last Name
  • F M Gender
  • Country of Birth Date of Birth (mm/dd/yyyy) Date first enrolled in ANY U.S. school (mm/dd/yyyy)
  • School Information
  • Start Date in New School (mm/dd/yyyy) Name of Former School and City, State Current Grade
  • Questions for Parents/Guardians
  • What is the native language(s) of each parent/guardian? (circle one)
  • (mother /father /guardian)
  • Which language(s) are spoken with your child?(include relatives - grandparents, uncles, aunts,etc. - and caregivers)
  • Seldom /sometimes /often /always
  • What language did your child first understand and speak? Which language do you use most with your child?
  • Which other languages does your child know? (circle all that apply)
  • Speak / read / write
  • Which languages does your child use? (circle one)
  • Will you require written information from school in your native language?
  • Y N
  • Will you require an interpreter/translator at parent-teacher meetings?
  • Parent/Guardian Signature: X
  • Today’s Date (mm/dd/yyyy)

Student Data - Race and Ethnicity

  • Student’s Name: Grade:
  • Please answer BOTH questions 1 and 2.
  • 1. Is this student Hispanic or Latino? (choose only one)
  • O No, not Hispanic or Latino
  • O Yes, Hispanic or Latino (A person of Cuban, Mexican, Puerto Rican, Cuban, South or Central American, or other Spanish culture or origin, regardless of race).
  • 2. What is the student’s race? (choose one or more)
  • O American Indian or Alaska Native (A person having origins in any of the original peoples of North and South America (including Central America), and who maintains tribal affiliation or Community attachment).
  • O Asian (A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, (Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam).
  • O Black or African American (A person having origins in any of the Black racial groups of Africa).
  • O Native Hawaiian or Other Pacific Islander (A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands).
  • O White (A person having origins in any of the original peoples of Europe, the Middle East, or North Africa).
  • Parent/Guardian Signature: Date:

STUDENT PHOTO RELEASE FORM

  • From time to time students are photographed in school for such items as press releases and other forms of media coverage such as television. Please indicate your preference below.
  • __________ NO photographs at any time
  • __________YES it is ok for the following student to be photographed
  • Student Name:
  • Grade:
  • Parent:
  • Date:

RELEASE OF RECORDS REQUEST

  • Date:
  • Student Name:
  • Date of Birth: Current Grade:
  • Please forward all student records below for the above named student:
  • Academic
  • Attendance
  • Cumulative
  • Discipline
  • ELE (English Language Education)
  • Medical
  • Special Education
  • Transcripts, Etc.
  • Last day of attendance:
  • School Name:
  • Address:
  • City, State, Zip:
  • Fax: Office:
  • Parent/Guardian Signature:
  • Foxborough Regional Charter School
  • Central District Office
  • 131 Central St.
  • Foxborough, MA 02035

New Student Sibling Verification

  • Please list all siblings of this student who have previously participated in our lottery and are currently active on a Foxborough Regional Charter School waitlist.
  • (A “sibling” is defined as a child who has a common biological or adoptive parent)
  • Sibling Name Grade

STUDENT HEALTH AND EMERGENCY INFORMATION FORM

  • Child’s Name Date of Birth Grade
  • Address City Zip
  • Male Female Primary Language
  • Is someone in your family presently serving in the Military? YES NO
  • Name / Age of Siblings
  • Mother /Guardian Address (If different from above)
  • Phone Number Work Phone Cell Phone
  • Email Address
  • Father/Guardian Address (If different from above)
  • Name of others who will be responsible for your child:
  • Name Relationship (Home) (Cell)
  • Physicians Name Phone
  • Dentist Name Phone Dental Insurance
  • Health Insurance Name and Policy number
  • My child does not have Health Insurance
  • If your child does not have health insurance, Massachusetts has health insurance plans that will provide uninsured children with affordable health care. (Restrictions may apply) Please contact the school nurse for more information about these programs. All communication will remain confidential.
  • Please list any medical conditions your child has
  • Please list all medications your child takes
  • In case of emergency, the school will attempt to contact a parent/guardian before calling 911. Your child will be transported to an emergency care facility if needed.
  • I give permission to the school nurse to share information relevant to my child’s health condition with the appropriate school personnel when needed to meet my child’s health and safety needs. I give permission to exchange information with my child’s primary care physician for the purpose of referral, diagnosis, and treatment.
  • Parent/Guardian Signature Date

Looking for Carpool Family

  • If you would like to try to locate another family to form a carpool, please complete the information below. When done, you can e-mail the form to llavallee@foxboroughrcs.org
  • When the forms have been submitted all the information will be collated and e-mailed back to all interested families.
  • It is the responsibility of the interested families to contact each other and establish a carpool. If a carpool is created, please fill out the Established Carpool Form (which can be found on the FRCS website). At that point, you will be given a color coded parking decal for the carpool zone you are assigned to at dismissal.
  • PLEASE PRINT CLEARLY (The information will be e-mailed to you).
  • Name:
  • E-Mail:
  • Telephone # (Optional):
  • Address:
  • Your Child(ren) grade(s):
  • Towns you are interested in carpooling with:
  • Number of students you could drive, excluding your child(ren):
  • Days you are available to carpool:
  • Prefer to drive: (Circle one) Mornings Afternoons Either

Timeline

Coding and Packing

Sensata Technologies
02.2016 - 09.2019
Martha Sandoval