Enrollment

PRE-REGISTRATION:
Please complete each step below when applying for a child to attend any Ecorse school. All items with an asterisk (*) are required. If you have any questions or concerns about applying, please email info@eps.k12.mi.us

Enrollment package:

PRINT AND COMPLETE ENROLLMENT APPLICATION

1 SELECT SCHOOL

SELECT SCHOOL

ACADEMIC YEAR*

2019-2020 (This School Year)

Selected school(s)*

+ Add another school

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2 STUDENT INFORMATION

STUDENT INFORMATION

PERSONAL INFORMATION

First name*

Date of birth*

Middle name

Gender*
MaleFemale

Last name*

Race or ethnicity*
Native AmericanBlack/African Am.

CaucasianAsianIndian

Hispanic/LatinoOther

ADDRESS INFORMATION

Street addres*	City*
State*	ZIP code*

SCHOOL INFORMATION

Grade entering*

Last school & district attended*

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3 PARENTS/GUARDIAN INFORMATION

PARENTS/GUARDIAN INFORMATION

GUARDIAN INFORMATION

Relationship to Student:	Relationship to Student:
Name	Name
Address: (if different from child's)	Address: (if different from child's)
City	City
ZIP code	ZIP code
Home Phone:	Home Phone:
Cell Phone	Cell Phone
Work Phone	Work Phone
Email Address	Email Address
With Whom does child reside?

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4 SIBLING INFORMATION

SIBLING INFORMATION (ONLY LIST SIBLINGS THAT WILL BE ATTENDING ECORSE PUBLIC SCHOOLS PRE-K TO 12TH GRADE)

SIBLING INFORMATION

Sibling Name	Grade
Sibling Name	Grade
Sibling Name	Grade
Sibling Name	Grade

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5 EMERGENCY CONTACT INFORMATION

EMERGENCY CONTACT INFORMATION

Name	Phone#
Name	Phone#
Name	Phone#

How did you hear about Ecorse Public Schools?
Ecorse TelegramSchool Sign EventWebsiteFriend/FamilyOther

Does your child have any health conditions that should be brought to the school’s attention?
(Circle one and provide the school with a doctor’s documentation)
YesNo

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