Epstein Secrets

ed services of the United States. 0 0 If E. Is YES, Is the parent on active duty? Check service below: 0 Air Force 0 Army • Coast Guard 0 Marines 0 National Guard 0 Navy (10 PRESCHOOL ENROLLMENT INFORMATION Place an X by each program attended. Also, indicate with an asterisk r ) the program your child was In the lon

0 The student most frequently speaks a language other than English. What language/ What language? What language/ (29) DISCLOSURES FOR ENTRY INTO PSC SCHOOL DISTRICT (Check ON the! apply) had juvenile justice aerials taken against himiher. 0 The student has been expelled from school. • The student has III The

sidized Child Care 0 O. Other 0 0 If E. is YES, is the parent on active duty? Check service below: 0 Air Force • Army 0 Coast Guard 0 Marines 0 National Guard 0 Navy (17) ISIHE STUDENT A SNORE PARENT? NO 0 YES 0 NO Om CURRENT GRADE LEVEL 07 4TRANSEEWINEORMATION ;a6„...-Waiftt 09) NAME OF SCHOOL TRANSFERFtr

date of entry into an ESOL program? (32) STUDENT LIVESMATH. (chock coat %pother li Father xi Both Parents 0 Other (33) Oscuosunas FOR ENTRY 0/10 PSC SCHOOL DISTRICT YES NO CI rag Pi been 1. Has the student ever expelled from school? • . 4 2. Has the student ever had an arrest resulting in a charge? 0 !e

. Subsidized Chid Care 0 0. Other 0 0 If E. is YES, s the parent on active duty? Check service below' 8 Air Force D Army Coast Guard 0 Marines 0 National Guard 0 Navy 17) iS THE STUDENT A SI LE PARENT, NO 0 YES 0 NO (IL) CURRENT CRAM LEVEL 08 TRANSFER INFORMATION (zo)C01. OR LOCATION (211 LAST ATTE/OO.CE 0A

0 The student most frequently speaks a language other than English. What language? What language? What language? (2a) OSCLOSURES FOR ENTRY INTO PSC SCHOOL DISTRICT (cheek ell Mel epohi) had juvenile justice actions taken against himtner. • The student has been expelled from school. 0 The student has • The st