Casco Bay High School For Expeditionary Learning 196 Allen Avenue Portland, 04103 PH(207) 874 -8160 • Fax (207) 797-5437 Derek Pierce http://CBHS.portlandschools.org Principal Portland Public [email protected] Schools Casco Bay High School Transfer Form: 2019 -20

Name: ______Current School:______Current Grade: ___ Student ID#: ______

Parent(s)/Guardian(s):______Home Address: ______

Home Phone Number: ______Work Phone Number(s): ______

Do you have a sibling currently at CBHS? Y N If so, please share their name:______

Do you currently receive any special education services? Y N

I would like to be a part of the ____ grade class at Casco Bay High School in September 2019. I understand that spaces are limited.

______student signature parent/guardian signature

*********** Please CIRCLE your answer to the following three questions:

1)If I attend Casco Bay High School next fall, I would like to take: English Language Learner (ELL) Support Executive Skills* French 1 2 3 4 5 Spanish 1 2 3 4 5 Chinese 1 2 3 *Executive Skills is an academic support option available to qualifying Special Education students.

2) Casco Bay High School offers co-curricular activities on our campus, from clubs to dances. In addition, students have the option of participating in the athletic and co-curricular programs of Portland or Deering High Schools (but not both). Consequently, Casco Bay HS students have to declare that either Portland or Deering will be their school for athletics and any additional co-curriculars. Once this designation has been made, it cannot be changed during the school year. If I attend Casco Bay High School next fall, I will designate the following as my school for additional co- curricular offerings: Portland High School

3) If there is more interest than spots, I would like to be placed on a waiting list in case a spot opens up before September: Yes No

Please return this completed form to either your guidance counselor or to Azadeh Mashhadi ([email protected]) at Casco Bay High School. Thanks!