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Salomé Ureña Leadership Academy - Middle School 322
New Students Admission Forms
All forms must be emailed to gdelvillar@m322.org
Admissions: Section Title
EMERGENCY CONTACT CARD
FEDERAL PARENT / GUARDIAN STUDENT ETHNIC AND RACE IDENTIFICATION
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Federal law requires the N.Y. C. Department of Education to collect & record the ethnic identity and race of public school students. This information is kept safe and private.
PARENT AFFIDAVIT
Admissions: Services
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A-101 Chancellor’s Regulation A-101 Custodial Parent Affidavit.
NON-PARENT CUSTODIAN PARENT
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A-101 Chancellor’s Regulation A-101 Non-Custodial Parent Affidavit.
MEDIA CONSENT FORM
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Parental consent for student participation in interviews, use of quotes, taking of photographs, movies or video tapes and other media types.
CHANGE OF ADDRESS FORM
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Student change of address form
COVID-19 TESTING CONSENT FORM
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Parent consent for in school Covid-19 testing
FAMILY INCOME INQUIRY FORM
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We ask families to complete the Family Income Inquiry Form, which helps schools receive money for their programs. The school will send a copy of this form home with your child, or you can get it from your school's main office.
PLEASE SUBMIT AN ELECTRONIC COPY/SCAN OR PICTURE OF:
··· Proof of Address - your Con-Ed bill
··· Birth Certificate - your child's birth certificate.
All forms must be emailed to gdelvillar@m322.org
Admissions: About
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