BB Response Records Request Form 2018 19 Spanish Revised xsRuJtwpzP

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Formulario de respuesta – Boynton Beach Este formulario debe completarse solo si recibió una carta que le ofrece la admisión de su hijo.

Imprimir este formulario, indicar su respuesta y devolver antes de la fecha indicada en su carta de oferta. Si acepta el puesto en Franklin Academy, debe completar la página dos de este formulario para que su respuesta sea válida. No se solicitarán registros hasta junio.

Nombre del estudiante: ___________________________________________________

Estudiante ingresando al grado académico __________ para el año escolar 2018-2019.

Género: Masculino __________Femenino__________

Este formulario sirve como respuesta a la oferta de admisión: Acepto el lugar para asistir a Franklin Academy: _______________

Declino el puesto en Franklin Academy: ______________________

Firma del padre: __________________________________ Fecha: ________________

Gracias. El equipo de Franklin Academy

***Se requiere la verificación de la admisibilidad de preferencia en el momento de la aceptación***

Request for Records & Transcripts 2018 – 2019 School Year

(561) 767-4700

www.Franklin-Academy.org

1

To: ______________________________________________________________ (Print name, city and state of current school) I authorize the release of records to Franklin Academy upon receipt of this letter.

Student Name: _____________________________________________________

2017-2018 Grade Level: ______________________________________________ 2018-2019 Grade Level: ______________________________________________

Please include: 1. Cumulative folder; current grades, date of withdrawal and attendance records. 2. Explanation of grading system. 3. Academic/Standardized test results. 4. Certificate of Immunization (HRS Form 80) and health records including current physical. 5. ESE program enrollment (IEP, 504, EP), specific learning disability and psychological evaluation records if applicable. Send Records to:

Franklin Academy - Boynton Beach [MSID: 4020] 7882 S. Military Trail, Boynton Beach, FL 33463 Phone: 561-767-4700 Fax: 561-432-3200

____________________________________________________________________ Parent Signature Date

(561) 767-4700

www.Franklin-Academy.org

2

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