Belleville Public Schools

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Student Information Packet

Please complete the form below. Mandatory fields marked *

Central Registration Office Use Only
Student Information
  1. |
Student Residential Address Information:
Student Risides With/Head of Household
  1. If there are any problems relating to custody and releasing your child,
  2. please be aware that the school must have a copy of the legal documents.
Emergency Contact Information
Sibling Information
  1. |
  2. |
  3. |
Previous School Information

Please complete ALL lines below, no matter where your child atteded school.

  1. |
  2. (Name & Address)

  3. | | | | | | | | | | | | |
Health Information
  1. |

Home Language Survey

Parent/Guardian Language Questionnaire

In order to improve the plans for your child's education needs, we are asking you to answer the questions listed below regarding your child's native language.

Directions: Check or write in the correct response for each of the following questions about your child.