For help completing this form, please call 518-433-1500
Who has the authority to apply for this child to attend Albany Community Charter School?
---Mother/Stepmother & Father/StepfatherMother/Stepmother OnlyFather/Stepfather OnlyLegal Guardian(s)
Please list the names of those applying for this child:
Has this student ever been evaluated to determine a need for any type of special education services?
NO, this student has never been evaluated.YES, this student has been evaluated.
Services, if any, that were recommended
Services, if any, currently receiving
Evaluation was provided by
I hereby testify that the information provided on this ACCS admission application is accurate and current.
Important Information for Admission: Upon admission, families must provide verification of residency, a copy of the student's prior year academic record, birth certificate and immunization record. In addition, student registration forms, lunch program applications and transportation forms must be completed.
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