Torrey Pines High School

San Dieguito Torrey Pines High School Union High School District 3710 Del Mar Heights Road San Diego, 92130 Board of Trustees Joyce Dalessandro Mailing: c/o 710 Encinitas Boulevard, Encinitas, CA 92024 Beth Hergesheimer 858-755-0125 Fax 858-481-0098 www.tphs.net Amy Herman Maureen “Mo” Muir Principal John Salizar David Jaffe Superintendent Rick Schmitt 2015-2016 ENROLLMENT CHECKLIST FOR INCOMING 9TH GRADERS FROM CARMEL VALLEY AND EARL WARREN MIDDLE SCHOOLS or other District Middle Schools TORREY PINES HIGH SCHOOL The following documentation is REQUIRED FOR ALL INCOMING STUDENTS FROM Carmel Valley Middle School & Earl Warren Middle School: . Enrollment Page . Verification of Residency form: 2 proofs of address (one must be a current gas & electric) . Emergency Form Please return the required documentation listed above to TPHS at the same time you return your student’s course selection. Incoming 9th Grade Registration Nights are March 31st or April 1st. You may attend either date at the times below: TIME LAST NAME 5:30pm-6:10pm A-Be I-J P-Ra 6:10pm-6:45pm Bf-Ch K-L Rb-S 6:45pm-7:20pm Ci-E M T-We 7:20pm-8:00pm F-H N-O Wf-Z If you have questions about enrolling, please contact Mrs. Jorie Rankin, Registrar : [email protected] or 858-755-0125 ext 2230. Canyon Crest Academy ● Carmel Valley MS ● Diegueno MS ● Earl Warren MS ● La Costa Canyon HS ● North Coast Alternative HS Oak Crest MS ● San Dieguito Adult Education ● San Dieguito Academy ● Sunset HS ● Torrey Pines HS SAN DIEGUITO UNION HIGH SCHOOL DISTRICT STUDENT ENROLLMENT FORM COPY OF BIRTH CERTIFICATE REQUIRED PRINT Legal Name (No Nicknames): Enrolling in:_____________________________ Grade:______ Student ID#______________ School __________________________________________________ Male Female Date of Birth: _______________ STUDENT: Last Name First Name Middle Month/Day/Year PLACE OF BIRTH_________________________ ________________ __________________ Social Security # _________________ City State Country ______________________________________________________________ Student resides with? ________ (Father / Mother / Guardian / Caregiver) Student’s E-mail Address __________________________________________ __________________________________________ Father‘s Name (Note: Father / Guardian / Caregiver) Mother’s Name (Note: Mother / Guardian / Caregiver) __________________________________________ __________________________________________ Home Phone Work Phone Home Phone Work Phone No Yes No Yes Father’s E-mail Would like to receive school materials and announcements? Cell Phone Mother’s E-mail Would like to receive school materials and announcements? Cell Phone Father’s Home Address City State Zip Code Mother’s Home Address City State Zip Code __________________________________________ __________________________________________________ Mailing Address (If Different from Above Address) City State Zip Code Mailing Address (If Different from Above Address) City State Zip Code Father needs interpreter for phone calls / meetings: No Yes Mother needs interpreter for phone calls / meetings: Yes No __________________________________________________________________________________________ Last School your Student Attended City State Zip Code School’s Fax Number School’s Telephone Number Has student previously attended school in the San Dieguito Union High School District? No Yes, School: _____________________ When did your student begin school in the United States? ____________ When did your student begin school in California? ___________ Month/Day/Year Month/Day/Year Home Language Survey The California Education Code requires schools to determine the language(s) spoken at home by each student. This information is essential in order for schools to provide meaningful instruction for all students. Please answer the following questions: 1. Has your student been designated as an English Learner in California public schools within the last 12 months? Yes No 2. What language did your child speak when he/she first began to talk? 3. What language does your child most frequently use at home? 4. What language do you use most frequently to speak to your child? ___________________________________________________ 5. Name the language in the order most often spoken by the adults at home. 1st_____________________________ 2nd____________________ 6. I prefer materials sent home in: English If available in: Spanish Other: __________________________ ____________________________________________________________________________________________________________________________________________________________________________________ The district must comply with many Federal and State reporting requirements. Your assistance in denoting the ethnic background of your student would be appreciated. Is the student Hispanic or Latino? Yes, Hispanic or Latino No, Not Hispanic or Latino Please continue to answer the following by marking one or more boxes to indicate what you consider the student’s race to be. White Pacific Islander Chinese Guamanian Japanese Filipino Asian/Asian American Samoan Korean Tahitian Black or African American Vietnamese Laotian Asian Indian American Indian/Alaskan Cambodian Hawaiian Homng The California Education Code requires schools to gather information regarding the highest level of education achieved by the parent with the most schooling. Please choose the corresponding: 1) Not a high school graduate 2) High school graduate 3) Some college 4) College graduate 5) Graduate school/Graduate training 6) Decline to state or unknown Parent/Guardian Signature __________________________________________ Date ___________________ District programs and activities are free from discrimination based on sex, race, color, religion, national origin, ethnic group, sexual orientation, marital or parental status, physical or mental disability or any other unlawful consideration. ____________________________________________________________________________________________________________________________________________________________________________________ OFFICE USE ONLY: Emergency Card Health Card Birth Cert. AUP Imm. Verified Chicken Pox Hep. #1 Hep. #2 Hep. #3 Student Enrollment Form / Pupil Services Rev 1/12 SAN DIEGUITO UNION HIGH SCHOOL DISTRICT School Year 2015-16 RESIDENCY VERIFICATION FORM Current School __________________ Student Perm. ID: ________________ Please check here if address is different than last year. The San Dieguito Union High School District may ONLY enroll students whose Parent(s) or Guardian(s) reside within school district boundaries (Education Code 48204). This form has been provided to help us verify the location of your residence. In cases in which residency is in question, the Office of Pupil Services & Alternative Programs can investigate by making a home visit. Residency verification is a parent responsibility and falsification of information provided on this document will be grounds for immediate d is enrollment. Please attach copies of the information requested below so that we may legally enroll/re-enroll your child in the San Dieguito Union High School District: Current Student Name: DOB: Grade: (Last Name) (First Name) Parent/Guardian Name: Home Phone #: ( ) (circle one above) Work Phone #: Address: Number Street City Zip Code Please provide the following form: Current Electric bill (both parts, top & bottom, in English) or verification of electrical service connection. (If you are a renter and do not pay utilities because it is included in the rent, we will need a letter from the lessor and/or a copy of the rental agreement stating that utilities are included.) Please check the box below indicating the additional form that you will submit as residency verification that reflects your name and the current address you list above: Current Cable bill (both parts, top & bottom, in English) Current Property Tax or Income Tax Documents (from the IRS, State, and/or County) Current Water (both parts, top & bottom, in English) or verification of water service connection.** Current Waste Management Bill (both parts, top & bottom, in English) Current Payroll Stub (both name and address must appear on payroll stub) Current Social Services documents Note: In the event a utility service connection is used as proof of residency, then a current utility bill (both parts, in English) must be provided within 45 days to assure continued enrollment. Residency Affidavit Form Completed Residency Affidavit Form attached. Please do not sign this form if any statements above are incorrect. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Signature of Parent/Guardian: Date: Staff Only: Verified By: Date Input Aeries: _ Page 1 of 4 SAN DIEGUITO UNION HIGH SCHOOL DISTRICT School Year 2015-2016 RESIDENCY VERIFICATION AFFIDAVIT FORM (Please complete one form for each school) HOME OWNER RENTER CO-RESIDENT (Must Also Submit) OTHER (Specify) Co-Resident Form) California law requires all persons between the ages of 6 and 18 to attend the school district in which their parents reside unless a specific statutory exception applies. (See Cal. Educ. Code §§ 48200, et seq.) The San Dieguito Union High School District (“District”) is required to take appropriate steps to ensure that students attending its schools satisfy applicable laws. This Residency Verification Form must be completed, signed and submitted with appropriate documentation demonstrating compliance with California’s residency

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