Inspire.Innovate.Engage KINDERGARTEN PRE-REGISTRATION

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1 KINDERGARTEN PRE-REGISTRATION Packet Must Be Returned By February 1 st, 2018 for Program Consideration District Office, Door A-2, 1936 Green Bay Rd, Highland Park, IL Monday Thursday 9 a.m. 3 p.m The District office (Door A-2) will be accepting Kindergarten Pre-Registration packets and required documents between December 15 th, 2017 and February 1 st, Completion of all the documents in the Pre-Registration packet and required documents will need to be collected at this time. Additional student information will need to be submitted online to finish Kindergarten registration for the school year. You will receive an with your parent portal account and additional information in April to complete your student s registration. PARENT/GUARDIAN MUST PRESENT DRIVERS LICENSE OR STATE PHOTO ID Documents Required (copies will be made & originals returned): One proof of residency document with parent/guardian name and address Original certified birth certificate (not a hospital certificate); students currently enrolled at Green Bay Early Childhood do not need to bring a birth certificate Forms Required: Kindergarten Pre-Registration Form (this form) Kindergarten Pre-Registration Preference (enclosed in packet) Student Home Language Survey (enclosed in packet) Requested: 5-year-old Physical & Immunization Form, if completed Student Last Name: First Name: Middle: Student Birthdate: Parent/Guardian Name: Address: Main Phone #: Student currently attending NSSD112 Early Childhood Center Yes No Sibling/s currently attending NSSD112 Yes No

2 PRE-REGISTRO DE KINDERGARTEN El paquete debe ser devuelto el 1ro de febrero del 2018 para la consideración del programa a la Oficina del distrito, puerta A-2, 1936 Green Bay Rd, Highland Park, IL lunes jueves 9 a.m. 3 p.m La oficina del Distrito (puerta A-2) aceptará los paquetes de pre-registro de kindergarten y los documentos requeridos entre el 15 de diciembre del 2017 hasta el 1 de febrero del La terminacion de todos los documentos en el paquete de pre-registro y los documentos requeridos deberán entregados en este momento. Información adicional del estudiante tendrá que ser sometido en línea para finalizar el registro de Kinder para el año escolar Recibirá un correo electrónico con su cuenta de portal para padres e información adicional en abril para completar el registro de su hijo. EL PADRE / GUARDIÁN DEBE PRESENTAR LA LICENCIA DE CONDUCIR O FOTO ID DEL ESTADO Documentos requeridos (se harán copias y se devolverán los originales): Un documento de prueba de residencia con el nombre del padre /guardian con dirección Acta de nacimiento original (no certificado de hospital); los estudiantes actualmente inscritos en la escuela Green Bay no necesitan traer un certificado de nacimiento Formularios requeridos: forma de pre-registro de kindergarten (esta forma) Kindergarten pre-registro preferencia (adjunto en el paquete) Encuesta del idioma en el hogar (adjunto en el paquete) Requerido: Forma de física e inmunización de 5 años, si está completo Apellido del estudiante: Nombre: Segundo: Fecha de nacimiento del estudiante: Nombre del Padre / Guardián: Dirección: Teléfono principal:

3 3 Estudiante que actualmente asiste al NSSD112 escuela Green Bay Si No Hermano/a que actualmente asisten a NSSD112 Si No

4 KINDERGARTEN PRE-REGISTRATION PREFERENCE Student Name: Last Name First Name Middle Name Please indicate your preference. Full Day Kindergarten (Tuition cost $ If your child qualifies for Free or Reduced Lunch, tuition is waived) Monolingual (English Only) Dual Language (Spanish/English - Placement is not guaranteed)* Neither Full Day Option (No tuition - Location may not be at child s home school) Half-Day Monolingual Kindergarten (English Only) *Spanish/English Dual Language Program If you are interested in the full day Spanish/English Dual Language Program, please visit for the application and information. If you have additional questions or need assistance, please contact Lindsey Rose, Director of Languages, lrose@nssd112 or (224) Parent/Guardian s Name Parent/Guardian s Signature Date (please print)

5 KINDERGARTEN PREFERENCIA DE PRE REGISTRO Nombre del estudiante: Apellido Nombre Segundo Por favor indique su preferencia. Kindergarten de día completo (La matrícula cuesta $ Si su hijo califica para almuerzo gratis o reducido, la matrícula no se aplica) Monolingüe (solo inglés) Programa dual (Español / Inglés - Selección no está garantizada) * No hay opción de día completo (Sin matrícula - La ubicación puede no estar en la escuela del hogar del niño) (Sin matrícula - La ubicación puede no estar en la escuela del hogar del niño) * Programa de idioma dual en español / inglés Si usted está interesado en el programa / Inglés Español Lenguaje Dual día completo, por favor visite para la solicitud y mas información. Si tiene preguntas adicionales o necesita ayuda, comuníquese con Lindsey Rose, directora de idiomas, lrose@nssd112 o (224) Nombre del padre / tutor Firma del padre / tutor fecha (por favor imprima)

6 HOME LANGUAGE SURVEY Student Name: Date of Birth: The Illinois School Code requires that each school district administer a home language survey to each student entering a school for the first time. The state requires each school district to collect a home language survey for every new student. This information is used to count the students whose families speak a language other than English at home. It also helps identify the students who need to be assed for English Language Proficiency. If the answer to either question is yes, the law requires the school to assess your child's English language proficiency. Is a language other than English spoken in the student s home? Yes No If yes, what language? Does your child speak a language other than English? Yes No If yes, what language? Parent/Guardian Name: Parent/Guardian Signature Required: (print) Date:

7 ENCUESTA DEL IDIOMAS EN EL HOGAR Nombre del estudiante: Fecha de nacimiento: El código escolar de illinois requiere que cada distrito escolar administre una encuesta acerca del idioma hablando en el hogar a cada estudiante que ingresa a la escuela por primera vez. El estado requiere que cada distrito escolar recopile una encuesta en el idioma del hogar para cada estudiante nuevo. Esta información se usa para contar los estudiantes cuyas familias hablan un idioma diferente al inglés en el hogar. También ayuda a identificar a los estudiantes que necesitan ser evaluados para dominio del idioma inglés. Si la respuesta a cualquiera de estas preguntas es sí, la ley requiere que la escuela para evaluar el dominio del idioma inglés de su hijo. Se habla un idioma diferente al inglés en el hogar del estudiante? Si No Si es así, cual idioma? Habla su hijo un idioma que no sea el inglés? Si No Si es así, cual idioma? Nombre del Padre / Guardián: Firma del Padre / Guardián requerida: (imprima) Fecha:

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