BUFFALO PUBLIC SCHOOLS ELEMENTARY SCHOOL APPLICATION 2023-2024

Student Placement & Registration ▪ 33 Ash Street ▪ Buffalo, NY 14204 ▪ (716) 816-3717 Telephone



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* 3. Student Name

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* 4. Date of Birth

Date

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* 5. Gender

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* 6. Student ID (Not SSN)

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* 7. Twin

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* 8. Is the student Hispanic, Latino, or of Spanish origin?

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* 9. Race

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* 10. Student Address

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* 11. Apt Number

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* 12. City/Town

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* 14. Zipcode

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* 15. Parent/Caregiver Info

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* 16. Parent/Caregiver Home Phone

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* 17. Parent/Caregiver Email

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* 18. Does the student receive 504/ADA (American Disability Act) services?

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* 19. Does the student currently receive special education services?

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* 20. If so, what level service?

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* 21. Does the student speak or understand a language other than English?

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* 22. If so, what other language is spoken in the home?

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* 23. Has this student ever received ENL (formerly ESL) or bilingual services?

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* 29. If applying to Buffalo Academy of Visual and Performing Arts, attach your Recommendation Forms

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File

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* 30. If applying to Buffalo Academy of Visual and Performing Arts, attach Teacher Evaluation Form

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File
SIBLING PREFERENCE: To receive sibling preference, list the name of one sibling attending one of your school choices above

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* 31. Sibling 1 Name

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* 33. Sibling 2 Name

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* 35. Sibling 3 Name

CO-APPLICANTS: If you are also submitting an application for another sibling (living in the same household) and would like him/her to be assigned together to the same school, fill in the name below. You MUST complete a separate application for each student.

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* 37. Co-Applicant 1 Name

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* 39. Co-Applicant 2 Name

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* 41. Co-Applicant 3 Name

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* 43. I acknowledge that I am the parent or legal guardian for the applicant.

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* 44. I acknowledge all school assignments will carry a one-year commitment.

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* 45. I certify that my primary residence will be within the city limits of Buffalo, NY by July 1, 2023.

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