You must PRINT out the application, complete it, and return it to the school. The application CANNOT be submitted online. Thank you.
Application for Admission
Aspen and Carbondale Community Schools
Student Information
Applicant’s Name
First Middle Last
Date of Birth Age Grade Entering
Sex ð Male ð Female Social Security Number Home Phone No.
Home Address
Street City State Zip
Mailing Address (if different)
Street or P.O. Box City State Zip
School District of residence _______________ County of residence_________________
Parent/Guardian Information
Father
Home Address
Street City State Zip
E-Mail Address ________________________________________
Mailing Address (if different)
Street or P.O. Box City State Zip
Occupation
Company Name and Address
Telephone (Day) _____________ (Evening) ___________ (Cell)
Mother
Home Address
Street City State Zip
E- mail Address ______________________________________________
Mailing Address (if different)
Street or P.O. Box City State Zip
Occupation
Company Name and Address
Telephone (Day) _____________ (Evening) ___________ (Cell)
Family Information
Brothers and Sisters
Name Age Last school or college attended
Family Information Continued
Relatives now or previously at the Community School
Name Relationship Dates of Attendance
Paternal Grandparents
Mailing Address
Street or P.O. Box City State Zip
Maternal Grandparents
Mailing Address
Street or P.O. Box City State Zip
Education Information
Present / Most Recent School Principal __________________
School Address Present Grade
Does your child have any special needs or are they identified with an IEP? ð Yes ð No
If so, please explain in detail______________________________________________________________
(If more space is needed, use additional sheet)
Does your child take any medication on a regular basis? ð Yes ð No
If so, please explain in detail______________________________________________________________
(If more space is needed, use additional sheet)
Has your child ever received special education services? ð Yes ð No
(e.g. resource room, occupational therapy, speech and language, social/emotional, etc.)
If so, please explain in detail______________________________________________________________
(If more space is needed, use additional sheet)
Have any evaluations been made? ð Yes ð No Are the results available to us? ð Yes ð No
Date(s) of Evaluation Evaluating Agency(ies)
Evaluations Release Signature (Parent/Guardian) Date
