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Forms

Many forms are fillable using Free Adobe Acrobat. 
For help with forms, email [email protected]


Student Enrollment, Withdrawal, and Residency Forms 
  
Initial Registration Form  PS-001
Notice of Intent: Instruction of Student at Home  PS-036 
Release of Information  PS-003
Release of Information (Spanish)  PS-003S
Residency Verification and Affidavits  PS-019 
Residency Verification Affidavit RENEWAL only  PS-019A
Homeless Children & Youth: Student Residency Affidavit (Parent/Guardian Form)  PS-059A
Homeless Children & Youth: Affidavit for Missing Documentation (Parent/Guardian Form)  PS-059A-1
Homeless Children & Youth: Student Residency Affidavit (Unaccompanied Youth Form)  PS-059B
Homeless Children & Youth: Affidavit for Missing Documentation (Unaccompanied Youth Form)  PS-059B-1
 Withdrawal Form (Eliot & Joel)  PS-007A
 Withdrawal Form (Morgan)  PS-007B
 (Acknowledgement of) Withdrawal of 17-year old from School  PS-030  


Student Health Forms

Authorization for Administering Medicine                                                                                         H-005  
Early Childhood Health Assessment Record (State of Connecticut)  ED161
Field Trip Medical Emergency Form  H-008
Health Assessment Record (State of Connecticut)
 HAR-3
Homebound Hospitalization Instruction  PS-033
Medical Exemption Certification Statement (CDPH)  State of CT
Refusal to Permit Administration of Epinephrine for Emergency First Aid  PS060
Release of Health Information  H-033
Written Authorization for the Possession and Application of Sunscreen in School  PS-061
Yearly Health Report (New Students Only)  H-003
   


Permission/Denial Forms

Denial of Permission to Release Directory Information     PS-010
Emergency Early Dismissal Information Form (Joel) PS-004
Handbook-Photo-Media Access Acknowledgement (Eliot)    PS-009A
Permission to Publish Student Work/Photograph Electronically          PS-009
Notice of Parent Rights     PS-040


Safe Schools Forms  

Parent-Staff Report of Suspected Bullying Behaviors                                                                
 PS-027A-3
Student Report of Suspected Bullying Behaviors
 PS-027A-1


Discrimination & Harassment Forms (Students/Community)

Discrimination/Harassment Complaint Form (STUDENTS)  Regulation 5152   PS-057     
Discrimination/Harassment Complaint Form (COMMUNITY) Regulation 1400   PS-062
Sexual Harassment Under Title IX Complaint Form (STUDENTS) Regulation 5151   PS-053
Sex Discrimination (other than sexual harassment under Title IX) (STUDENTS) Regulation 5151   PS-054


Miscellaneous Forms 

Request for Review of Educational Material                                                           PS-043   


















 

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