Instant Impact Global Prep Student Registration for the 23-24 School Year

Instant Impact Global Prep Student Registration for the 23-24 School Year

Welcome to Instant Impact Global Prep Charter School

The following documents are required when registering a child to attend Instant Impact Global Prep (IIGP) School.

_____Social Security Card

_____Photo ID (Drivers license, state ID, or Passport)

_____Two Proofs of Residency (Ex. utility bill, property tax bill, lease agreement, and etc...)

______Birth Certificate or Passport (Supported file type: jpg, jpeg, jpe, png, gif, docx, pdf)

_____ Child's Immunization Record

_____Child's Most Recent Report Card (not required for Kindergarten)

_____ Signature of parent (Supported file type: jpg, jpeg, jpe, png, gif)

School Information

Student Information

Name
Name
Gender
Address
Address
Unlisted
Is student Hispanic or Latino?
Race/Ethnic Code
(Must check all that apply.)
(birth certificate, passport, etc.; provide document)
Has student ever received English as a Second Language (ESL) or Bilingual services?
Is student a Foreign Exchange student?

Instant Impact Global Prep Schools is required to identify students whose parent is (or parents are) in the U.S. Armed Forces (Active Duty or Reserve status) or in the National Guard.

Parent/Guardian in U.S. Military or National Guard?
Parent or Gurdian
Enrollment Reasons (Check One)

Emergency Contacts

Language

A completed language usage survey is required for all students upon enrollment in Mississippi schools. This information will tell school staff if they need to check your child's proficiency in English. Answers to these questions ensure your child receives the education services to succeed in school. The information is not used to identify immigration status.

Communication Preferences

Indicate your language preference so we can provide an interpreter or translated documents at no cost when you need them. All parents have the right to information about their child's education in a language they understand.

Language Background

Information about your child's language background helps us identify students who qualify for support to develop the language skills necessary for success in school. Testing may be necessary to determine if language supports are needed.

Prior Education

List student's previous schools, beginning with most recent school, including preschool:

Address (School-1)
Address (School-1)
Address (School-2)
Address (School-2)
Preschool Experience (Check all that apply.)
Kindergarten Experience

Siblings

Name (Sibling-1)
Name (Sibling-1)
Gender (Sibling-1)

Name (Sibling-2)
Name (Sibling-2)
Gender (Sibling-2)

Name (Sibling-3)
Name (Sibling-3)
Gender (Sibling-3)

Parent Information

Parent
Name
Name
Marital Status
If you check Separated or Divorced, we require current legal documentation related to the children.
Deceased?
Resides with Student?
Address
Address
Unlisted?
Custodial Parent?
Legal Guardian?
Grandparent POA?
Caregiver Authorization?
Migrant Worker?
Receive School Mail (if not Custodial Parent)?
Parent-2/ P-2
Name (P-2)
Name (P-2)
Marital Status (P-2)
If you check Separated or Divorced, we require current legal documentation related to the children.
Deceased? (P-2)
Resides with Student? (P-2)
Address (P-2)
Address (P-2)
Unlisted? (P-2)
Custodial Parent? (P-2)
Legal Guardian? (P-2)
Grandparent POA? (P-2)
Caregiver Authorization? (P-2)
Migrant Worker? (P-2)
Receive School Mail (if not Custodial Parent)? (P-2)

Students With Special Needs

Does child require mobility assistance? i.e. wheelchair, etc.)
Did child receive Special Education and related services in most recent school?
Does this child have a current IEP (Individualized Education Program)?
Does child have a 504 Accommodation Plan?
Did child receive Gifted services in most recent school?

Temporary Living Arrangements

Answers to these questions will help determine what services the student may be eligible to receive.

Is student's current address a temporary living arrangement?
No Is this temporary living arrangement due to loss of housing or economic hardship?
If answer to both of these questions is Yes, the student is entitled to immediate enrollment.
Where is the student living now?
How Did You Hear About Instant Impact Global Prep School?
Understanding Statement
I understand that any inaccurate information provided about this student on any page of this Student Registration Information Form may result in a change of grade level, a change of class, or an immediate transfer or withdrawal from this school.
Maximum upload size: 5MB
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Request to Restrict Privacy Information

Federal and MS laws prohibit Instant Impact Global Prep School (IIGP) from publicly releasing information about our students, except for designated "Directory Information." Per Board Policy No. 8330, IIGP defines Directory Information as the following:

A student's name, school, grade level, parent-guardian's name, home address, telephone number, email address, participation in officially recognized activities and sports, and awards received Under MS public records law, IIGP is required upon request to provide the above Directory Information to any member of the public who requests it. IIGP' primary purpose for releasing Directory Information is to highlight students' accomplishments.

Parents, legal guardians, or students age 18 or over may refuse to allow CPS to release Directory Information. Please indicate if you wish to restrict IIGP from releasing Directory Information on the student named below by checking the appropriate box and returning this form to your child's school.

Authorization

I
Name of Parent/ Guardian or Student 18 years old
authorize the release of records pertaining to
Student's Name
Student's Name
From the following school or institution:
Address of School or Institution
Address of School or Institution
The following records* should be released:

  • Transcript of subjects and grades
  • Attendance Record
  • Psychological or Other Individual Test Results
  • 504 Accommodation Plan
  • English Language Proficiency Assessments
  • Special Education Records, including IEP, MFE or ETR, and behavior plan
  • MS Achievement and Graduation Test Results
  • Standardized Test Results
  • Gifted Assessments
  • Health Records

* Records that cannot be withheld due to non-payment of fees or obligations: State test scores, Individualized Educational Program (IEP), IEP progress reports, Multifactored Evaluation (MFE) or Education Team Report (ETR), and immunization records.

Release records to:

Address of New School
Address of New School
I am authorizing the release of these records because (Check one):
I am the parent, guardian or custodian of the subject of these records, and the subject is under 18 years.
I am the subject of these records, and I'm 18 years of age or older.
Maximum upload size: 5MB
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Documents Upload

Maximum upload size: 15MB
Supported file type: jpg, jpeg, jpe, png, gif, docx, pdf
Maximum upload size: 15MB
Supported file type: jpg, jpeg, jpe, png, gif, docx, pdf
Maximum upload size: 15MB
Supported file type: jpg, jpeg, jpe, png, gif, docx, pdf
Maximum upload size: 15MB
Supported file type: jpg, jpeg, jpe, png, gif, docx, pdf
Maximum upload size: 15MB
Supported file type: jpg, jpeg, jpe, png, gif, docx, pdf
Maximum upload size: 15MB
Supported file type: jpg, jpeg, jpe, png, gif, docx, pdf