The questions asked in the following pages will enable us to determine your student’s eligibility to attend school in this district in accordance with New Jersey law.
Please be aware that N.J.S.A. 18A:38-1 and N.J.A.C. 6A:22 require that a free public education be provided to students between the ages of 5 and 20,
and to certain students under 5 and over 20 as specified in other applicable law, who are:
Note that “guardian” means a person to whom a court of competent jurisdiction has awarded guardianship or custody of a child,
provided that a residential custody order shall entitle a child to attend school in the residential custodian’s school district subject
to a rebuttable presumption that the child is actually living with such custodian; it also means the Department of Children
and Families for purposes of N.J.S.A. 18A:38-1(e). Also note that a student is entitled to attend school in the district of
domicile notwithstanding that the student is qualified to attend school in a different district as an “affidavit” student or temporary resident.
Note that the following do not affect a student’s eligibility to enroll in school:
The totality of information and documentation you offer will be considered in evaluating an application, and,
unless expressly required by law, the student will not be denied enrollment based on your
inability to provide certain form(s) of documentation where other acceptable evidence is presented.
You will not be asked for any information or document protected from disclosure by law, or
pertaining to criteria which are not legitimate bases for determining eligibility to attend school.
You may voluntarily disclose any document or information you believe will help establish that the student meets the
requirements of law for entitlement to attend school in the district, but we may not, directly or indirectly, require or request:
Optional note if district permits attendance by nonresidents on a tuition basis:
State law allows school districts to admit nonresident students, through policies adopted at Board discretion, on a tuition basis.
If your student is not eligible to attend school in this district free of charge, he or she may enroll on a tuition basis by...
(instructions on how to obtain more information, or register for enrollment as a nonresident student.)
Mandatory fields marked *
To the Person Enrolling the Student: Please complete the appropriate section A, B, C or D below, according to the situation best matching the student's circumstances:
Complete SECTION A (DOMICILE) if the student is the child of a parent or guardian, or an adult student, whose permanent home is the address given on page 1 of this application and is located in the district.
Complete SECTION B (“AFFIDAVIT” STUDENT) if the student is living with a person domiciled in the district, other than the parent or guardian.
Complete SECTION C (TEMPORARY RESIDENT) if the student is living with a parent or guardian temporarily residing within the district.
Complete SECTION D (SPECIAL CIRCUMSTANCES) if the student’s situation is not addressed by Section A, B or C or if any of the circumstances in Section D apply.
SECTION A (DOMICILE): Complete this section if the student is the child of a parent or guardian, or an adult student, whose permanent home is the address given on page 1 of this application and is located in the district. If you are the student’s guardian, or will be the guardian of a student from out of state following expiration of the required 6-month waiting period, you will be asked to provide official papers proving guardianship. You will not be asked to produce "affidavit student" proofs of the type requested in Section B below.
SECTION B ("AFFIDAVIT" STUDENT): Complete this section if the student is living with a person domiciled in the district,
other than the parent or guardian
Please note: A student will not be considered ineligible because required sworn statements(s) cannot be obtained,
so long as evidence is presented that the underlying requirements of the law are being met.
A student will not be considered ineligible when evidence is presented that the student
has no home or possibility of school attendance other than with a non-parent district resident who is
acting as the sole caretaker and supporter of the student.
A student will not be considered ineligible solely because a parent or guardian provides gifts or limited
contributions, financial or otherwise, toward the welfare of the student, provided that the resident
keeping the student receives no payment or other remuneration from the parent or guardian for the student’s actual housing and support.
Receipt by the resident of social security or other similar benefits on behalf of the student do not render a student ineligible.
It is not necessary that guardianship or custody be obtained before a student will be considered for enrollment on an "affidavit" basis.
SECTION C (TEMPORARY RESIDENT): Complete this section if the student is living with a parent or guardian temporarily
residing within the district, even if the parent has a domicile elsewhere.
SECTION D (SPECIAL CIRCUMSTANCES): Please indicate if any of the following apply.
Your school principal, teacher, or district supervisor will be using the name, photo or video images of students in
your school to highlight the many wonderful events that occur at school.
I agree that you may photograph or video my child/ward and that you may use my child’s name, photo
or video image in the Belleville Public Schools Website
or any school newsletter published and produced by the Belleville Public Schools.
Belleville Public School district and school newsletters are
published periodically throughout the school year and may appear on the school
district web site, in print for local distribution, or on the Belleville High School television station, WBHS.
I understand that I will not be paid and I may not revoke my permission. To the extent permitted by law,
parent/guardians and pupils shall defend, indemnify and hold the Belleville Board of Education harmless from
and against any claims, losses, liabilities, damages, demands, penalties, and expenses arising out of or in connection
with photographing or videotaping/filming of the pupil.
Please read and sign this letter if you wish to DENY permission for your child’s name,
photo or video image to be published in the Belleville Public Schools Website or school newsletter.
Please return this form to your child’s teacher.
Belleville Public Schools is pleased to offer access to the district computers, networks, e-mail and to the Internet. There are specific rules that all users must follow. Users agree to the following:
1. The computers, networks, and Internet connectivity are provided for the educational use of students, staff, faculty and other authorized users. Work of a commercial nature is not permitted. Supplies and equipment are to be used only for academic purposes.
2. The use of the computers, networks, and Internet connectivity is a privilege that will be revoked for inappropriate use. The system administrator has the authority to enforce this agreement.
3. Your computer account and password should be protected as you would protect your locker and combination. Therefore, you should not consider anything that you say or store as private. The system administrators may spot check to insure adherence to these rules.
4. If you notice any security problem on the Internet or on our network, it must be reported to the system administrator immediately. Do not demonstrate the problem for anyone else. Any user identified as a security risk or having a history of problems with other computer systems may be denied access.
5. Vandalism will not be tolerated. Vandalism is defined as any malicious attempt to harm or destroy data or the physical hardware. Violators will be subject to the board discipline code.
6. Network etiquette is expected. Students should:
a) Be polite. Do not be abusive in your messages to others.
b) Use appropriate language. Do not swear, use vulgarities or any other inappropriate language. Illegal activities are strictly forbidden.
c) Do not reveal the address, phone number, or other personal information of yourself, other students, or colleagues.
d) Note that electronic mail (e-mail) and the World Wide Web are not guaranteed to be private. People who operate the system do have access to all e-mail. Messages relating to or in support of illegal activities will be reported to the authorities.
e) Do not use the network in such a way that you would disrupt the use of the network by other users.
f) All communications and information accessible via the network should be assumed to be private property and will be subject to copyright laws.
7. The viewing, downloading, and distribution of pornographic and/or obscene materials are prohibited.
8. The unlicensed copying and distribution of copyrighted software is prohibited. The installation of unauthorized software is prohibited.
9. Belleville Public Schools makes no warranties of any kind, whether expressed or implied, for the service it is providing. Belleville Public Schools will not be responsible for any damages you suffer. This includes loss of data resulting from delays, non-deliveries, mis-deliveries, or service interruptions caused by its own negligence or your errors or omissions. Use of any information obtained via the Internet is at your own risk. Belleville Public Schools specifically denies any responsibility for the accuracy or quality of information obtained through its services.
10. Permission is granted for the Belleville Public Schools to post photographs, images, and works of art or other material created by students or staff on the district website without specific written authorization.
I understand and will abide by the above Acceptable Use Agreement. I further understand that any violation of the regulations above is unethical and may constitute a criminal offense. Should I commit any violation, my access privileges will be revoked, school disciplinary action may be taken, and/or appropriate legal action.
As the parent or guardian of this student, I have read the Acceptable Use Agreement. I understand that this access is designed for educational purposes. Belleville
Public Schools has taken precautions to limit controversial material. However, I also recognize it is impossible for Belleville Public Schools to restrict
access to all controversial materials and I will not hold them responsible for materials acquired on the network. Further, I accept full responsibility for
supervision if and when my child's use is not in a school setting. I hereby give permission to issue an account for my child and certify that the information contained on this form is correct.
Please send the following information to the attention of the secretary at the school checked below:*