Indian Education

 

DENVER PUBLIC SCHOOLS
AMERICAN INDIAN FOCUS SCHOOL PROGRAM
APPLICATION

PUPIL ID_________________
TO BE FILLED IN BY SCHOOL
506 FORM

NOTE:  ALL FOCUS SCHOOL TRANSFER STUDENTS MUST HAVE AN O.E. 506 FORM ON FILE WITH THE INDIAN EDUCATION TITLE VII OFFICE (303.405.8171)

Pupil Name_________________________________________________________________________
             (LAST)                                            (FIRST)                                     (INITIAL)

Tribal Affiliation___________________________________Male____Female___

Date of Birth_____________________________________

Parent or Guardian’s Name_________________________________________________________________________

Address____________________________________Zip Code______

Home Phone__________________Business Phone________________

Assigned neighborhood school ________________________________________________________

School pupil currently attends________________________________________________________________________

Requesting Indian Focus School for school year   200_______________

Grade Level for school year 200____________

Is pupil enrolled in a Special Education Program?       Yes___   No___(check one)

If yes, which program?______________________________________________________________________________

                                                  ______________________________________________________________________________
Parent or Guardian Signature                                                             Date

 

PLEASE RETURN APPLICATION TO THE INDIAN EDUCATION OFFICE AT 1330 FOX STREET OR FAX TO 303.405.8167.