OPEN-ENROLLMENT CHARTER CONTRACT RENEWAL...

ATTACHMENT A

OPEN-ENROLLMENT CHARTER CONTRACT RENEWAL APPLICATION (f

Current Information in Charter School Tracking System

Charter Holder Name TLC ACADEMY

Charter School Name TEXAS LEADERSHIP

Charter School CountyDistrict 226-801

Generation 14

Maximum Approved Enrollment 2250

Grades Approved PK3PK4K123456789101112

Campuses

226801001 226801001 TLC ACADEMY TLC ACADEMY 126 S JACKSON STREET 5687 MELROSE SAN ANGELO TX 76901 SAN ANGELO TX 76901

Grade Levels Currently Served Grade Levels Currently Served KG010203040506070809101112 KG010203040506070809101112

226801002 TEXAS LEADERSHIP OF MIDLAND 3300 THOMAS AVENUE MIDLAND TX 79703

Grade Levels Currently Served

Geographical Boundary The original charter application and amendment history reflects that the following district(s) comprise the charter schools geographic boundary

ANDREWS 1SD MIDLAND ISD BALL1NGER ISD MILES ISD BRONTE ISD PAINT ROCK ISD CRANE ISD RANKIN ISD CHRISTOVAL ISD REAGAN COUNTY ISD ECTOR COUNTY ISD ROBERT LEE ISD GLASSCOCK COUNTY ISD SAN ANGELO ISD GRADY ISD STANTON ISD GRAPE CREEK ISD VERIBEST ISD GREENWOOD ISD WALL ISD IRION COUNTY ISD WATER VALLEY ISD KERMIT ISD MCCAMEY ISD

RECEIVED MAR 2 0 21114

Update Data Provided by TEA

I 226801002

TEXAS LEADERSHIP OF MIDLAND

3300 THOMAS AVENUE

MIDLAND TX 79703

Grade Levels Currently Served 2013-2014

KG 01 02 03 04

Texas Leadership of Midland projected expansion to KG-12 by 2018-2019 school year

Section II

Contact Information

The persons listed below will be contacted by agency staff if there are issues to be resolved in any of the renewal petition sections Note that any contact information including email addresses provided with the renewal petition will be public information

Superintendent Contact Information

Superintendents Name WALT LANDERS

Telephone Number 3256533200

Fax Number 3259426795

E-mail Address WLANDERSTLCA-SACOM

Charter Holder Board Chair Contact Information

Board Chairs Name RAYMOND MEZA



E-mail Address TMF-RAYMONDWCCNET

Petition Preparers Contact Information

Contact Name KELLYE HERMES



E-mail Address KHERMESTLCA-SACOM

Charter School Website

Web address WWWTLCA-SANANGELOCOM

Page 9

Section III

Website Postings

In accordance with the requirements of TEC sect121211 an open-enrollment charter school shall list the names of the members of the governing body on the home page of the schools internet website Provide the internet URL address where the names of the members of the governing body are listed

WWWTLCA-SANANGELOCOM

In accordance with the requirements of TEC sect12136 an open-enrollment charter school shall post the salary of the schools superintendent or CEO on the schools internet website Provide the internet URL address where the superintendents salary is posted

httpwwwtexasleadershipnetCHANCELL0R20C0NTRACTpdf

In accordance with Local Government Code sect140006 an open-enrollment charter school shall post continuously on the schools internet website the annual financials of the school Provide the internet URL address where the annual financial statements of the charter school are continuously posted

httptlca-sanangelocomdistrict-reporting

0

Section IV

Organizational Charts

Submit as Attachment1 the organizational chart for the charter school that specifies the administrative positions including the title and name of the individual currently in each position

Submit as Attachment 2 a chart that identifies all other entities under the direction of the charter holder This would include entities andor programs that the charter holder governsmanages in addition to the charter school

Page 11

Section V

Admission Policy

Please be aware that any change to the terms of an open-enrollment charter that relates to the following subjects

rade levels 1 maximum enrollment

bull geographic boundaries bull approVed sites bull school nqme Revised bull charter holder name DunnS Conti

Agency procebull charter holder governance ss bull articles of incorporation bull corporate bylav bull management company bull admission policy bull the educational progfam of the school

requires the commissioner of educations approval of a substantive amendment tSee sect1001033(c) Substantive Amendment 19 TAG Chapter 100)

A Specify the period during which applications for admission are accepted TEC sect12117 requires that a charter school establish a reasonable application deadlinefor the submission of applicationsfor admission

Beginning of Period (MonthDay) End of Period (MonthDay)

0401 OR MONDAY FOLLOWING 10 BUSINESS DAYS LATER

B If the school admits students by lottery when the number of admissions applications received exceeds the number of available spaces describe the procedures followed in conducting the lottery

If there are more eligible applicants than spaces in a class then a lottery will be conducted at the close of business on the 10th business day of all applicants Siblings of current students and staff children will be given priority in the lottery

C If the school utilizes a lottery when oversubscribed are any categories of applicants exempted from the lottery

C Yes

(bull No

C Not applicable (because lotteries are not utilized)

If Yes was indicated in C above state the categories of applicants that are exempted

Page 12

Section V Admission Policy

Please be aware that any change to the terms of an open-enrollment charter that relates to the following subjects bull grade levels bull maximum enrollment bull geographic boundaries bull approved sites bull school name bull charter holder name bull charter holder governance articles of incorporation bull corporate bylaws Approved During Contingency Process bull management company bull admission policy or bull the educational program of the school

requires the commissioner of educations approval of a substantive amendment (See sect1001033(c) Substantive Amendment 19 TAG Chapter 100)

A Specify the period during which applications for admission are accepted TEC sect12117 requires that a charter school establish a reasonable application deadlinefor the submission ofapplicationsfor admission


0401 10 BUSINESS DAYS LATER


If there are more eligible applicants than spaces in a class then a lottery will be conducted at the close of business on the 10th business day of all applicants


(bull Yes

r No



Siblings of current students and children of staff will be exempt from the lottery and enrolled on a first come first served basis provided that the total number of students exempt from the lottery is a small number in accordance with federal and state rule and guideline

Page 12

Section V (Continued)

Admission Polk

D If the school utilizes a lottery when oversubscribed specify the appi mdashace date on which a lottery will be conducted

Approximate Date of Lottery (MonthDay)

0415

E If the school does not utilize a lottery when oversubscribed but rather fills the available positions in the order in which applications were received before the expiration of the application deadline (ie afirst-come first-served admission process) describe the manner in which the school notifies the community of the opportunity to apply for admission EEC ^72777 reguirej a cAarfer acAoof fAa uses aWaMOMfmcgM wAen oversubscribed to publish a notice in a newspaper of generalcirculation not later than the seventh day before the application deadline

NOT APPLICABLE

F If the school has a separate process for re-enrollment state the process and the timeline to be used


If there are names remaining after all vacancies have been filled a waiting list will be developed and open positions will be filled on a first come first serve basis Students can remain on the waiting list for the current school year only

G State the procedures for processing applications received once the application deadline has passed


H Describe the information that an applicant must provide in order to be considered for admission Applicants may not be required to provide copies oftranscripts or other academic records until after they are offered admission and are enrolling Furthermore a student may not be precluded fi-om enrollingdue to the charter schoolsfailure to receive information requiredfor enrollmentfrom the students parent orguardian or previous school See TEC

fJJOOZ

The only required information for enrollment is to complete an application stating the following information grade student will be entering full name Social Security Number date of birth current school home address parentsguardians names relationship to student addresses phone numbers email addresses answer question regarding documented history of a criminal offense juvenile court adjudication or discipline problems sibling enrolled and names previous school(s) attended and the district transferring from

Page 13


Admission Policy

D If the school utilizes a lottery when oversubscribed specify the approximate date on which a lottery will be conducted

Approximate Date of Lottery (MonthDay) process

E If the school does not utilize a lottery when oversubscribed but rather fills the available positions in the order in which applications were received before the expiration of the application deadline (ie a first-come first-served admission process) describe the manner in which the school notifies the community of the opportunity to apply for admission TEC sect12117 requires a charter school that uses a first-come first-served admission process when oversubscribed to publish a notice in a newspaper of general circulation not later than the seventh day before the application deadline

Not applicable


For students already granted admission if there are more students seeking to re-enroll than spaces available in a class such seats will be filled on a first-come first-served basis for re-enrollees prior to the general lottery for non-admitted students Students seeking re-enrollment will then be placed on a wait list in the order received followed by siblings of current students and children of staff


If there are names remaining after all vacancies have been filled a waiting list will be developed and open positions will be filled on a first come first served basis Students can remain on the waiting list for the current school year only and must reapply each school year

H Describe the information that an applicant must provide in order to be considered for admission Applicants may not be required toprovide copies of transcripts or other academic records until after they are offered admission and are enrolling Furthermore a student may not be precludedfrom enrolling due to the charter schoolsfailure to receive information requiredfor enrollmentfrom the studentsparent or guardian or previous school See TEC

f2J002

The only required information for enrollment is to complete an application stating the following information grade student will be entering full name Social Security Number date of birth current school home address parentsguardians names relationship to student addresses phone numbers email addresses answer question regarding documented history of criminal offense juvenile court adjudication or discipline problems sibling enrolled and names previous school(s) attended and district transferring from

Page 13


Admission Policy

I The charter holder certifies that the non-discrimination statement required by TEC sect12111(a)(6) is printed in the schools admission policy TEC jV2777C6) W a cAarfer acAooa aaWaaiOMWicy mcWe a statement tW the school will not discriminate in admissions based on gender national origin ethnicity religion disability academic artistic or athletic ability or the district the child would otherwise attend

(bullYes

C No

J Does the admission policy either require or permit the school to exclude from admission all students with documented histories of a criminal offense a juvenile court adjudication or discipline problems under TEC Chapter 37 Subchapter A as authorized by TEC sect 12111(a)(6)

(bull Yes ( The school excludes such students or reserves the right to exclude such students from admissions)

C No (The school does not deny admission to such students based on their documented histories of misconduct)

Submit

bull A current copy of the admission policy that incorporates the information provided in the above answers to questions

A through H and any other relevant information (Attachment 3)

bull A blank copy of the current admission application ie the information requested when the student first seeks

admission (Attachment 4) and

bull A blank copy of the current enrollment form(s) ie the information required once an applicant has been offered

admission and is registering for enrollment (Attachment 5)

Page 14

Section VI

Special Education Assurances

The charter holder certifies it has policies and procedures in place that ensure implementation of all federal laws and regulations Texas laws State Board of Education (SBOE) and commissioner of education rules related to students with disabilities and further certifies any future amendments to the laws regulations and rules will be incorporated and implemented

Signature of Charter HampMer Board Chair Date (Must sign in blue ink)

RAYMOND MEZA

RECEIVED m 9 0 21114Printed Name of Charter Holder Board Chair

Page 15

Section VII

Serving Students at Residential Facilities Assurances

If the charter school is not currently approved to serve students at residential facilities do not provide a signature and indicate NA on the signature line

If operating a charter school campus on the site of a residential facility (RF) or serving students residing in or receiving services from an RF the charter holder chair certifies by signing the assurance that

Compliance with Special Education Requirements The charter holder assures that it will comply with all of the requirements for the provision of educational services to students with disabilities as mandated by the Individuals with Disabilities Education Act as amended the Texas Education Code and federal and state special education regulations The charter holder acknowledges that state and federal special education requirements require among other things it provide a free and appropriate public education (FAPE) in the least restrictive environment (ERE) to students with disabilities residing in RFs The charter holder further assures that it will provide or seek the provision of a FAPE to students with disabilities which may require it to contract with outside service providers or another local educational agency to provide necessary services and supports to students with disabilities

Geographic Boundaries The charter holder assures that it will accept students who reside in the school district(s) that are within each campuss geographic boundaries regardless of the presence or absence of a disability or admission to or participation in an RF program

Admissions Criteria The charter holder assures that its admissions criteria will not be based on the presence or the absence of a disability or on gender national origin ethnicity religion academic artistic or athletic ability or the home district the child would otherwise attend

School Choice The charter holder assures that parentslegal guardians (or adult students) will be advised that they may choose to enroll their child in either the charter school or the local public school district and that the elected choice will be documented in writing and filed for purposes of review or audit by the Texas Education Agency (TEA) an external auditor or an other entity

Residential Facilities Monitoring (RFM) System The charter holder assures that it understands that pursuant to 19 Texas Administrative Code (TAC) sect971072 there is a specific system for monitoring school districts and charter schools serving students with disabilities who reside in RFs The charter holder further assures that it understands it will be required to report data related to students with disabilities residing in RFs in TEAS data collection system known as RF Tracker and it may be subject to RFM intervention activities and on-site visits based upon a review of the data reported on a random selection or other means of selection

Training The charter holder assures that all personnel involved with serving students with disabilities residing in a RF and personnel involved with reporting data in RF Tracker will receive training on the RFM system Please contact your regional Educational Service Center for information regarding the required RFM system training

Page 16

Section VII (Continued)


The charter holder assures this assurance document has been shared with and understood by the RF board and that the RF board has acknowledged its understanding of all federal laws and regulations Texas laws State Board of Education (SBOE) and commissioner of education rules related to charter schools serving students at residential facilities and further certifies that any future amendments to the laws regulations and rules will be incorporated and implemented

MIASignature of Charter Holder Board Chair Date

(Must sign in blue ink)

NA

Printed Name of Charter Holder Board Chair

Please write NA in the signature line

if the charter does not serve students at residential facilities

Page 17

Section VIII

BilingualESL Section 504 and Dyslexia Assurances

TEC CAppfer 2 SwAcAapfer 2 TEC fTZ704(((CA and TP 7C ampPT207-72lt require charter schools to identity limited English proficient students based on state criteria and to provide an appropriate bilingual education or English as a second language program conducted by teachers certified for such courses

A The charter holder certifies it has policies and procedures in place to ensure it complies with the legal and regulatory requirements concerning identifying and providing appropriate educational services to limited English proficient students

(bull Yes

CNo


Section 504 of the Rehabilitation Act of 1973 29 USC sect794 prohibits discrimination on the basis of disability in any program receiving federal financial assistance A recipient that operates a public education program or activity shall provide a free appropriate public education to qualified individuals

B The charter holder certifies it has policies and procedures in place to ensure it complies with the legal and regulatory requirements concerning identifying and providing appropriate educational services to students protected by Section 504

(bull Yes

PNo

T E C f T P 7 W C f 7 4 2 g a n d S e c t i o n 5 0 4 o f t h e R e h a b i l i t a t i o n A c t o f 1 9 7 3 2 P C amp C f 7 P 4 require charter schools to identify students with dyslexia or related disorders and to provide appropriate educational services

C The charter holder certifies it has policies and procedures in place to ensure it complies with the legal and regulatory requirements concerning identifying and providing appropriate educational services to students with dyslexia or related disorders

(bull Yes

CNo

I further certify that any future amendments to the laws regulations and rules will be incorporated and implemented

Date (Must sign in blue ink)

RAYMOND MEZA


Page 18

Section IX

Fingerprinting and Criminal Record Check Assurance

The charter holder certifies it is in compliance with TEC sect12120 and confirms that no individual is serving in any capacity if he or she has been convicted of a misdemeanor involving moral turpitude a felony an offense listed in TEC sect37007(a) or an offense listed in Article 62001(5) Code of Criminal Procedures unless the individual is eligible to be employed in a position in a school district under TEC sect12120 (a-1)

Additionally the charter holder confirms all current fingerprinting and criminal record checks are available for all employees including contract employees volunteers who indicated in writing their intention to serve board members and officers of the charter holder who are not on the board in compliance with TEC sectsect121059 220832-220835

RAYMOND MEZA


R E C E I V E D MAR 2 0 20H

Page 19

Section X

Received mar 2 a 2on Certificate of Acknowledgement

This section requires at least a majority of the governing body of the charter holder to certify it has had an opportunity to review the completed renewal petition and has authorized during an open meeting submission of the petition to the commissioner of education for consideration of renewal of the charter

CERTIFICATE OF ACKNOWLEDGEMENT The undersigned members of the governing body of the charter holder hereby acknowledge that they have had an opportunity to review the completed renewal petition and have authorized its submission during an open meeting to the commissioner of education for consideration of the renewal of the charter

Typed Name Signature Date(Type name next to corresponding signature) (Must sign in blue ink)

RAYMOND MEZA 3]rampfit TOMMY OLIVE

3i im

BRIDGET CARR 31161n-WALT LANDERS 3lftl4 RON LEDBETTER 3j|6(T

Members are to sign the acknowledgement during an open meeting therefore the date next to each signature must

reflect the date of the meeting

Page 20

Attachment 1 Organizational Chart of the Charter School

1

Board Of Directors

ChancellorCEO

I

Superintendent of SchoolsCFO

Principals District REIMS Coordinator

Business Clerk

Admin AssistantHuman

Resources

Operations Manager

CampusEducational Staff Finance Clerk Maintenance Food Service Custodial RegistrarPEIMS

Attachment 2 Chart Showing Additional Involvement by Charter School

Not Applicable

Attachment 3 Admissions Policy

Applicationsfrom new students will be acceptedfrom April 1 or the following Monday ifthe f falls on a

weekend for 10 business days If the number of eligible applicants does not exceed the number of

vacancies then all applicants who applied will be offered admission based on disciplinary review and

approval

If there are more eligible applicants than spaces in a class then a lottery will be conducted at the close of

business on the 10th business day ofall applicants Siblings of current students andstaff children will be

given priority in the lottery

If there are names remaining after all vacancies have been filled a waiting list will be developed and

open positions will befilled on afirst comefirst serve basis Students can remain on the waiting listfor

the current schoolyear only

Currently enrolled students will receive a Notice of Intent to Return form on thefirst Monday in March

Thisform asks students to state whether they intend to return thefollowing school year and to identify

any of their siblings who wish to attend the school thefollowing school year Theform must be returned

by the last Friday in March Currently enrolled students expressing a desire to return are automatically

enrolledfor thefollowing school year upon timely receipt of the Notice ofIntent to Returnform

Vacancies in each class are then determined and the siblings of returning students are given priority in

admission Staff children are given priority in admission

Ifan application is received after the application period has passed the applicants name is added to the

waiting list behind the names of the applicants who timely applied

Exclusions

Students who have a documented history of a criminal offense a juvenile court adjudication or discipline problems under TEC Chapter 37 Subchapter A may be excludedfrom the admission process

Under Civil Action 5281 a schoolshall not approve transfers where the effect ofsuch transfers will change the majority or minority percentage of the school population based on average daily attendance in such districts by more than one percent (I gt) in either the home or the receiving district or the home or the receiving school

TLC Academy does not discriminate in admission based on gender national origin ethnicity religion disability academic artistic or athletic ability or the district the child would otherwise attend

Attachment 4 Admission Application

Family No_ Application No

TLC Academy Admissions Application

SCHOOL YEAR 2013-2014

PLEASE FILL OUT FORM COMPLETELY AND PRINT CLEARLY

Grade Entering Fall 20l3_

Students Name

LAST NAME FIRST NAME MIDDLE NAME

Current Grade Social Security Date of Birth

Current School

Students Home Address

City State Zip

FIRST PARENTGUARDIAN Relationships

Address Phone Addl Phone

City State Zip Email

SECOND PARENTGUARDIAN Relationship



Does the applicant have a documented history of a criminal offense juvenile court adjudication or discipline

problems under Chapter 37 of the Education Code Yes No

Does the applicant have a sibling already admitted and attending TLC Academy Yes No

Previous School(s) Your Student has Attended

What school district is your child transferring from

ParentGuardian Signature Date

TLC Academy may exclude students with a documented history of a criminal offense juvenile court adjudication or

discipline problem under TEC Chp37 sub A under TEC 12111(a)(6)

Attachment 5 Enrollment Form(s)

TLC Academy T L C A PO Box 61726X

I San Angelo TX 76906 3256533200

X8 XiV

it AVeCcome to TLC JAcacCemy

Thank youfor choosing to enroCCyour chiCcC in our charter schooC

TLCA will not accept partial enrollment packets The Enrollment Review Committee cannot review an application until all materials have been received The following check list is provided to help you organize your application

PLEASE LEAVE THIS PACKET STAPLED TOGETHER

PUT ALL DOCUMENTS BACK INTO THE LARGE ENVELOPE YOU RECEIVED

It is the parentguardians responsibility to obtain thefollowing items and make any requested copies WE DO NOT MAKE COPIES

Proof of residency -copy of utility bill will be acceptable

Students social security card-please make a clear copy- numbers must be clearly visible and legible

Copy of State Certified Birth Certificate- this is not the hospital certificate with footprints NOTE Kindergarten students must be 5 years of age and 1st grade students must be 6 years of age on September 1st of the year enrolling

Copy of updated Immunization Record or Certified Exemption of Immunization form SHOT RECORDS MUST BE CURRENT AND SUPPLIED TO US BEFORE YOUR STUDENT MAY ATTEND SCHOOL

Adult enrolling student must provide identification- copy of your Drivers License

Discipline Student Record Release Authorization form signed by Students Current Principal with any attached documentation

ADDITIONALLY - these documents would help us properly place your child

Copy of Testing-TPRI TAKS Most recent Report Card High School Students - official transcript (entering 10th - 12th) Copy of any Special Program Information from previous school

Examples ARDs Special Ed 504 Speech EST etc

Attachment 5 Enrollment Form(s) Cont

STUDENT ENROLLMENT FORM 20132014

TLC ACADEMY v a PO Box 61726

San Angelo Texas 76906 Assigned ID

Office 3256533200

Fax 3259426795 Start Date

Please Print (blue or black ink only)

Grade Student Legal FULL Name

Last First Middle Generation

Residential Address Mailing Address

Address CityState amp Zip Code (Complete only if differentfrom Residential Address)

Phone Number Unlisted Date of Birth Place of Birth

YesNo

Student Cell Student email

Ethnicity Race (check all that apply) Gender

HispanicLatino American Indian or Alaskan Native Male Female

Not HispanicLatino Asian Social Security Number

Ever Attended TLCA Black African American

Yes No Hawaiian Pacific Islander

White

PLEASE FILL OUT THIS INFORMATION COMPLETELY AND CLEARLY

Student Program Information

Date first enrolled in US Schools

Has student ever participated in the Migrant Program

Has student ever participated in the Immigrant Program

LIST LAST SCHOOLS ATTENDED

Name of School Address City State amp Zip Code

Current

Previous

Previous

Was Student Ever ENROLLED in Special Programs

Yes No Special Education Yes No Bilingual - ESL

Yes No 504 Program Yes No Gifted and Talented

Yes No Other


With whom does the student live

Both Parents Father

Other Mother

(Name and Relationship to Student)

FatherGuardian

Last Name First Name

Address CityState amp Zip Code Place of Employment

Email Address of Employment

MotherGuardian




Father Yes

Mother Yes_

Does fathermotherguardian work on Federal

Property or for Federal Government

No

No

Job

Job

Rank

Rank

Primary Contact

Home Phone

Work Phone

Cell Phone

Primary Contact|

Home Phone

Work Phone

Cell Phone

Last Name

EMERGENCY Contact Person (Other than ParentGuardian)

First Name Home Phone

Address CityState amp ZipCode Relationship toStudent Cell Phone

Last Name First Name Home Phone

Address CityState amp Zip Code

Preferred Doctor

Relationship to Student

Preferred Hospital

Cell Phone

Dr

Preferred Dentist

Phone Name

Other Doctor

Phone

Dr Phone Dr

List other people living in household that are not listed above

Phone

Name Age Grade School Attending




Person Enrolling Student Information

Last Name First Name DOB Address CityState Zip Code

Relationship to Student Phone Signature


TLC Academy 4114 Sunset Dr

San Angelo TX 76904

325-653-3200 Main Line - FAX LINE 325-942-6795

Registrar Denise Sumners x 7100 Assistant Superintendent Ron Ledbetter x 7002

DISCIPLINE RECORDS

STUDENT RECORD RELEASE AUTHORIZATION

The TLC ACADEMY Charter application provides for the exclusion of an applicant who has a documented

history of criminal offenses juvenile court adjudication or discipline problems under the TEC Chapter 37

Final enrollment is based on a review of behavior records

My student is applying for enrollment at TLC

Academy Charter School and we are requesting the release of their discipline records as a part of their

enrollment process at the new school It is with this understanding I

(parent or guardian name) give

(current school) permission to release any

and all discipline records regarding my student concerning

criminal offenses juvenile court adjudication and any problems under the Texas Education code Chapter 37

Parent Name

Signature Date

This portion must be completed by applicants current school

I I

PRINCIPALS REPORT The above named students discipline records are attached or are NOT attached This student

does or does NOT have any discipline issues to report Please attach any discipline records to this

form and note the total count of pages attached for verification on our end that all are delivered to us

[ of pages attached] Missed days of school this year-as of today excused unexcused

Principal Date

Name of Current School Phone

If we have anyfurther questions we may call to validate the information we have received


TLC Academy PO Box 61726 ~

SanAngeloTX 76906 3256533200


Student Date of Birth Grade

(name of currentprevious school) has my consent to release the follow information on the above named student to TLC Academy

Grades including withdrawal grades Date of entrywithdrawal from your school Test recordsachievement scores Key to grading system Home language survey Health dataimmunization records Other information that would be helpful in working with this student ARDs Special Education Records

Authorized by (please print)

Relationship to student

Signature Date

Previous School Name

Physical Address

City State Zip

Phone Number Fax

NOTE TO SCHOOL RELEASING RECORDS PLEASE FORWARD RECORDS TO ABOVE ADDRESS ATTENTION REGISTRAR OR FAX TO 3259426795 THANKS



SanAngeloTX 76906 3256533200

DISCIPLINE STUDENT RECORD RELEASE AUTHORIZATION

The TLC ACADEMY Charter application provides for the exclusion of an applicant who has a documented history of criminal offenses juvenile court adjudication or discipline problems under the TEC Chapter 37 Final enrollment is based on a review of behavior records

With this understand I (ParentGuardian)

give (PriorCurrent School) permission to

release any and ALL discipline records regarding

(Student Name) concerning criminal offenses juvenile court adjudication and any problems

under the Texas Education Code Chapter 37

STUDENT NAME (PRINT)

PARENTGUARDIAN NAME (PRINT)

ParentGuardian Signature

Date


TLC Academy Health Information Sheet

Please fill out the following health information for the nurses files

Student Name Grade

ParentGuardian Name

Parent Phone Number(s)

(Please list all updated phone numbersin case of emergency)

Does your child have any of the following medical conditions

Allergies Yes or No

List Medication aileron

List FoodAllergy

List OtherAllergy (bees latex etc)

Diabetes Yes or No Heart conditions Yes or No Asthma Yes or No Seizure disorder Yes or No Stomach conditions Yes or No Physical disabilitieslimitations Yes or No Transplant recipient Yes or No Neurological disorders Yes or No Skin disorders Yes or No Hearing difficulties Yes or No Vision difficulties Yes or No Psychological disorders Yes or No Other medical conditions Yes or No

If vou answered ves to any of the above please bring documentation from your childs physician explaining what proceduresmedicationsprecautions that needs to be administered for your child at school

Proper documentation must be onfile at the schoolfor allergies and medical conditions that require medication intervention

Ex Epi-pens prescription meds over the counter meds etc

Signature Date


Texas Leadership TOMORROWS LEADERS IN TRAINING

PO Box 61726 Office 325-653-3200 San Angelo Texas 76906 Fax 325-942-6795

MILITARY CONNECTED STUDENT

2013-2014

Dear Parents

TLC Academy is helping the State of Texas identify students who are Military Connected This also allows our school to properly account for a students attendance when missing school due to certain military reasons Please answer the following questions and return this form to school

Grade Name (Last First MI)

Please mark only one statement below

Student is not Military Connected

Student is a dependent of a member of the Army Navy Air Force Marine Corps or Coast Guard on Active Duty

Student is a dependent of a member of the Texas National Guard (Army Air Guard or State Guard

Student is a dependent of a member of a reserve force in the United State military (Army Navy Air Force Marine Corps or Coast Guard

The term dependent with respect to a member of a uniformed service means the spouse of the member an unmarried child of the member an unmarried person who is placed in the legal custody of the member and is dependent on the member for over one-half of the persons support resides with the member unless separated by the necessity of military service or to receive institutional care as a result of disability or incapacitation or under such other circumstances as the Secretary concerned may by regulation prescribe and is not a dependent of a member under any other paragraph (37 USC Sec 401)


Date


TLC Academy PO Box 61726

San Angelo TX 76906 3256533200

STUDENT TRANSPORTATION RELEASE AUTHORIZATION

School Year 2013-2014

Student Name Grade

TLC Academy shall maintain a record of parents and other authorized persons to whom the child may be released Each parent shall provide TLC Academy with the final four digits of their social security number for purposes of security in emergency conditions

NORMAL RELEASE PROCEDURES

Children will be released only to the authorized persons you list on this form Please inform the school office in writing promptly of any changes

EMERGENCYPICK-UP PROCEDURE

When emergency conditions require that a child be released to a person not identified in the release authorization records the School shall require the parents prior approval which may be submitted by telephone The parent identified for security purposes by the last four digits of their social security number shall designate the person to whom the child may be released The person to whom the child is to be released must in turn provide the parents four digit number as identification present their drivers license for the number to be recorded and sign the Child Pick-Up Authorization form which shall be retained by TLC Academy

If an individual whom you have not listed on this form is to pick up your child you must

1 Inform the school office and identify the authorized individual

2 Provide this individual with the last four digits of your social security number and inform them that they must show their drivers license and

3 Have this individual come into the office provide a drivers license and the last four digits of your social security number

Without this information your child will not be released

OVER


ACKNOWLEDGMENT BYPARENT(S) (To be completed by all parentsguardians)

Each parent or guardian of the above named child by his or her signature herein below acknowledges and certifies that heshe has read and fully understands and agrees with the above and foregoing information and procedures concerning release of the child

Parents Name (Last First) SSN


Relationship to Student ( ) Mother ( ) Father ( ) Step-Mother ( ) Step-Father ( ) Other

Other - What is the relationship





The following people are authorized to transport my child to and from school

Full Name Relationship Phone





Enrolling Parents Signature Date

SPECIAL NOTIFICATION FOR PARENTS WHO ARE DIVORCED

In the case of a divorce it shall be the responsibility of the one who is granted primary custody or possession of the child (being the one with whom the child primarily lives) to provide TLC Academy with a copy of the custody decree or agreement It shall be the responsibility of a parent to notify TLC Academy immediately if the parent or any other person has been placed under a protective order restraining order or other order of a court or agency which order prohibits or restricts that parent or other person access to or possession of the child and a copy of any such order should be provided to TLC Academy IMMEDIATELY




FOSTER CARE STATUS 2013-2014

Dear Parents

TLC Academy is helping the State of Texas identify students who are in Foster Care Please answer the following questions and return this form to school



Student is not a Foster Child

Student is a Foster Child (Enrolling caregiver must provide a copy of the Texas DFPS Placement Authorization Form 2085 or a court order that designates the student is in the conservatorship of the Department of Family and Protective Services)


Date



San Angelo TX 76906 3256533200

STUDENT RESIDENCY QUESTIONNAIRE

Student Name Grade

This questionnaire is intended to address the MeKinney-Vento Homeless Education Assistance Improvements Act 42 USC 11435 The answers to this residency information help determine the services the student may be eligible to receive

1 Is your current address a temporary living arrangement Yes No

2 Is this temporary living arrangement due to loss of housing or economic hardship Yes No

If you answered YES to the above questions please complete the remainder of the form If you answered NO you need not answer any further questions on this form

Where is the student presently living (check one)

In a motel With more than one family in a houseapartment In a shelter In a place not designed for ordinary sleeping Moving from place to place accommodations such as a car park or campsite

Students Name Date

Students School Birth date

Name of Parent(s)Legal Guardian(s)

Address Phone

TO BE COMPLETED BY CAMPUS

Referred by (CounselorNurseHome Liaison PrincipalOther)

Services Requested (check all appropriate) School Supplies Clothing GlassesEmergency MedicalDental Other

Approved by Date Campus Administrator

Approved by Date District Homeless Liaison



San Angelo TX 76906 3256533200

MIGRANT PROGRAM SERVICE 2013-2014

PLEASE PRINT LEGIBLY IN BLACK INK

Dear Parents

LLC Academy is helping the state of Texas identify students who may qualify for migrant program services that provide extra help in academics Please answer the following questions and return this form to the school

Please list the ages and names of children enrolled in TLC Academy

Age Name (Last First MI)




1 Has your family moved any time during the last three years from one school district to another in Texas or to another state Yes No

2 Were any of these moves made to find temporary or seasonal work in agriculture related to packing process harvesting cultivating of crops food procession dairy work forestry fishing etc Yes No

If you answered Yes to question 2 please complete the following information

Name of ParentGuardian

Address Phone

Please list the names and ages of children who are not enrolled in school







San Angelo TX 76906 3256533200

Texas Education Agency-Division of Bilingual Education Home Language Survey

2013-2014

Student Name Grade

To be completed by parent or guardian

1 What language is spoken in your home most of the time

2 What language does your child speak most of the time

Signature of ParentGuardian

Date

If your child does not speak English most of the time or if the language spoken in your home most of the time is not English your child will be tested to see if he or she needs assistance from the school to learn English



San Angelo TX 76906 3256533200

Code of Conduct Handbook Acknowledgment

My child and I have been informed that both the Student Code of Conduct and Student Handbook are available online at wwwtlca-sanangelonet I also understand that a hardcopy of both documents are available for viewing at the students respective campus The handbook contains information that my child and I may need during the school year and that all students will be held accountable for their behavior and will be subject to the disciplinary consequences outlined in the Code If I have any questions regarding this handbook or code of conduct I should direct those questions to the principal at 3256533200

Print Name of Student Signature of Student

Signature of Parent Date



SanAngeloTX 76906 325-653-3200

UNIFORM AGREEMENT

Uniforms are a great equalizer They encourage pride in personal appearance and promote school spirit In addition uniforms eliminate self-consciousness Uniforms are MANDATORY for all students at TLC Academy Each student is expected to strictly abide by the uniform guidelines Once your students application for enrollment is approved you will need to purchase your uniforms through The TLCA Uniform Store located in your students campus office

Every child is required to come to school in complete uniform each day All children are expected to wear a uniform on field trips

I (parents name) have read and understand the uniform guidelines for TLC Academy I also agree to purchase my students school uniforms from The TLCA Uniform Store I understand that if at any time my child is not in proper uniform I will be notified by the school to bring proper attire or to pick himher up for the rest of the day

Students Signature (or name if under 4th grade)

Parents Name - PRINTED

Parental Signature Date



San Angelo TX 76906 3256533200

Computer and Internet Acceptable Use Agreement

STUDENT

I understand and will abide by the Acceptable Use Policy found in the StudentParent Handbook I further understand that any violation of the regulations stated in the Handbook is unethical and may constitute a criminal offense Should I commit any violation my access privileges may be revoked school disciplinary action may be taken andor appropriate legal action

Students Name (Print)

Students Signature Date

PARENT OR GUARDIAN

As the parentguardian of I have read the Acceptable Use Policy found in the StudentParent Handbook I understand that this access is designed for educational purposes However I also recognize it is impossible for TLC Academy to restrict access to all controversial materials and I will not hold them responsible for materials acquired on the telecomputing network Furthermore I accept full responsibility for supervision if and when my childs use is not in a school setting I hereby give permission to issue an account for this student

Parents Name (Please print)


SPONSORING TEACHER

I have read the Acceptable Use Policy and agree to promote this policy with the student Because the student may use the network for individual work or in the context of another class I cannot be held responsible for the students use of the network As the sponsoring teacher I do agree to instruct the student on acceptable use of the network and proper network etiquette

Teachers Name (Please print)

Teachers Signature Date


Student and Parent Handbook Agreement

TLCA was founded on the premise that parents are a childs primary teachers and should be

involved in their ongoing formal education Therefore parents agree to participate in the following

areas

Please initial each of the lines below

11 have read the StudentParent Handbook and agree to adhere to the listed

guidelines

21 agree to come for a conference and to administer discipline if called to

do so (according to discipline guidelines)

31 agree to observe one half hour per semester in the classroom

41 agree to attend required parenting events

All Parent Orientations

Parenting Classes

51 agree with the philosophy of TLCA that parents are the primary teachers of their

children The school and home join hands to teach children the way to live and learn

61 understand the uniform dress code for TLCA and agree to adhere to this policy

71 understand the complaint procedure of TLCA and 1 agree to adhere to this policy

(The teacher will be contacted first before any complaint is brought to

administration)

81 have read and understand the directory information policy as presented in the

StudentParent Handbook

91 understand that failure to comply with these guidelines may jeopardize the

continued enrollment of my child at TLCA

I agree to adhere to the statement of philosophy policies and procedures discipline system and

parenting guidelines of TLCA I understand that TLCA is a school of choice and is not under the

jurisdiction of any local ISD I understand that TLCA reserves the right to exclude a student and

family which does not abide by the policies and guidelines of the school

The StudentParent Handbook and Student Code of Conduct may not include all requirements and

responsibilities which may exist on campus For additional information or clarification of material

parents may contact the campus principals office

Student Name - Printed Parent Name - Printed

Student Signature (4th grade or above) Parent Signature

Date Date



San Angelo TX 76906 3256533200

ParentStudentTeacher Compact

Student Name Grade Date

TLC Academy believes that effective schools are a result of families and school staff working together to ensure that children are successful in school A compact is a voluntary agreement between two groups that firmly unites them You are invited to be involved in a partnership with TLC Academy

As a ParentGuardian I pledge to

bull Make regular school attendance a primary emphasis in my home bull Encourage students to do their best and make good behavior choices

bull Find out how my child is doing by attending conferences looking at my childs schoolwork or calling the school

bull Spend time each day with my child reading writing listening or just talking

bull Respect love and encourage my childs growth and ideas

bull Help my child to resolve conflicts in positive non-violent ways bull Encourage my family to be involved in school activities

ParentGuardian signature

As a TLC Academy Staff member I pledge to

bull Maintain and foster high standards of academic achievement and positive behavior

bull Respectfully and accurately inform parents of their childs progress

bull Have high expectations for myself students and other staff

bull Respect the cultural differences of students their families and other staff

bull Help children to resolve conflicts in positive nonviolent ways

bull Facilitate ongoing communication with parentscaregivers about their childs progress

Teacher signature

Principal signature

As a TLC Academy student I pledge to

bull Work hard to do my best in class and complete my homework

bull Discuss with my parents what I am learning in school

bull Have a positive attitude towards self others school learning

bull Respect the cultural difference of other students their families and staff

bull Work to resolve conflicts in positive nonviolent ways

bull Respect the right of my classmates to learn

bull Accept responsibility for my own actions and the consequences that may follow

Student Signature


FAMILY EDUCATIONAL RIGHTS AND PRIVACY ACT

Directory Information Opt Out Form

bull Directory information means information contained in an educational record of a student that would not generally be considered harmful or an invasion of privacy if disclosed The law permits the charter system to designate certain personal information as directory information This designated directory information may be released to anyone who follows the procedures for requesting it

bull Completion of this form is optional however if you do not complete and return this form directory information may be released but in accordance with TLCA policy

bull To prohibit TLCA from releasing your students directory information you must mark adjacent to the appropriate statement(s) below sign the form and return it to your students school

bull If you have more than one student enrolled you must complete a separate form for each student

PLEASE MARK EACH APPLICABLE STATEMENT TO SPECIFY WHO YOU DO NOT WANT TLCA TO RELEASE DIRECTORY INFORMATION

For all students

A I prohibit TLCA from releasing directory information about my student to any outside non-school related persons This includes for example the news media seeking information pertaining to UIL competitions or other positive events

B I prohibit TLCA from releasing directory information about my student to internal school related persons This includes for example school operated websites advertisements and newsletters This would also prohibit the use of a students name and photograph in the annual yearbook

For secondary students only

C I prohibit TLCA from releasing directory information about my student to institutions of

higher education

D I prohibit TLCA from releasing directory information about my student to military recruiters

PRINT Students Full Legal Name Students Date of Birth (monthdayyear)

PRINT ParentGuardian Full Legal Name ParentGuardian Signature

Date (monthdayyear)


TLCA

Parent Alert Contact Information Sheet

Dear Parents

In a continuing effort to keep you informed on a timely basis our school has adapted the Parent Alert

Notification service This service allows us to instantly send you both text messages and email to you

Whether its day to day events or an emergency situation Parent Alert provides text messages and email

information quickly and efficiently

In addition the Parent Alert system also provides a weekly informational eNewsletter focused on child

safety and family activities This weekly newsletter is sponsored by local businesses who contribute funds

to have their business featured

In order for this Parent Alert system to be effective we need your contact information Please fill out

the form below

Thanks for your help

TLC Academy

Childs Name(s)

Please check the location where you children attend school Melrose K-6th Jackson 7-12th

Fathers Information First Name Last Name

Email Cell Phone

Cell Phone Company (Circle One) Alltel ATstT Nextel Sprint T-Mobile Verizon West Central Wireless

Other

Mothers Information First Name Last Name

Email Cell Phone


Other


APPENDIX F

Supplemental Information for Reporting Ethnicity and Race Data Reporting

Summary of Requirements

1 The USDE requires that ethnicity and race be collected separately using a specific two-part question presented in a specific order Both parts of the question must be answered

Parti Ethnicity Is the person HispanicLatino Choose only one HispanicLatino Not HispanicLatino

Part 2 Race What is the persons race Choose one or more regardless of ethnicity a American Indian or Alaska Native b Asian c Black or African American d Native HawaiianOther Pacific Islander e White

2 Respondents may select only one category for ethnicity but may select multiple designations for race

3 The categories for ethnicity are HispanicLatino and Not HispanicLatino Regardless of the category selected for ethnicity respondents must still select one or more categories for race

4 One of the major changes is the recognition that members of Hispanic populations can be of different races The federal government would like to afford HispanicLatino populations the opportunity to better describe themselves according to their culture and heritage

5 An additional category for race was created by separating Asian or Pacific Islander into two separate categories The categories for race include American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander and White Note that HispanicLatino is not a racial category

6 The categories to be used when reporting aggregate data to the USDE differ from the categories to be used for data collection Each student or staff member is associated with only one of the seven aggregate reporting categories listed below Use of these seven categories for aggregate reporting eliminates the possibility of counting an individual twice

bull HispanicLatino bull American Indian or Alaska Native bull Asian bull Black or African American Native Hawaiian or Other Pacific Islander bull White bull Two or More Races


2013-2014 REIMS Data Standards Appendix F Ethnicity and Race Reporting Guidance

Respondents who select HispanicLatino for ethnicity will be counted in this category for aggregate reporting to the USDE regardless of the responses provided to the question on race

Respondents who select Not HispanicLatino for ethnicity and select more than one category for race will be counted in the category Two or More Races for aggregate reporting to the USDE

Respondents who select Not HispanicLatino for ethnicity and select only one category for race will be counted in the single racial category for aggregate reporting to the USDE

7 Educational institutions must retain all original individual responses for a minimum of 3 years unless there is litigation a claim an audit investigation or other action involving the records that has commenced before the three-year period ends in which case the responses must be retained until the action is complete

F2



Collecting the Information

Self identification by an individual staff member or by the parent or guardian in the case of a student is the preferred method for collecting information on ethnicity and race The most important guidance for self identification is that the information should be based solely on the choice of the respondent as to the racial and ethnic groups with which they personally identify In the event that there appears to be a question as to which ethnic or racial category is most appropriate the respondent should select the category with which they personally identify Any attempt to validate the individuals selections should be avoided

The Texas Education Agency has requested and received additional clarification from the USDE on the definition of American Indian or Alaska Native Based on the information we have received an individual does not have to be a tribal member in order to select this option

To ensure uniformity TEA has developed a standard form for use by all districts in collecting ethnicity and race information Please see Exhibit 1A for the English version and Exhibit 1B for the Spanish version

For Students

Upon enrollment in a school district or charter school all families must be given an opportunity to identify ethnicity and race information for their school aged children The district should request that a students parent or guardian identify the students ethnicity and race However the parent or guardian is not required to provide this information nor is it a requirement for enrolling the student If the parent or guardian declines to provide the information the USDE requires that the school district employ observer identification as a last resort to gather this information for federal reporting

For Staff

Upon employment all staff persons must be given an opportunity to identify their ethnicity and race information The district should request that individuals self-identify their own ethnicity and race If a person declines to provide the information the district is required to employ observer identification as a last resort to gather this information

F3



Comparison of Old (1977) and New (1997) USDE Ethnicity and Race Reporting Standards

As of December 2007 state and local education organizations are required to adopt the new federal standard for collecting race and ethnicity data for students and staffBelow is a comparison of existing and new standards

Existing Federal Standards (1977) New Federal Standards (1997) Race and Ethnicity Categories

American Indian or Alaska Native Same (American Indian or Alaska Native) Asian or Pacific Islander Separate into 2 categories

bull Asian bull Native Hawaiian or Other Pacific Islander

Black or African American Same (Black or African American) HispanicLatino Same except that individuals are now asked to

choose an ethnicity (HispanicLatino or Not HispanicLatino) as the first part of a 2 part question as well as race(s)

White Same (White) Individual Data Collection Format

Respondents are asked to select 1 of the 5 racial and ethnic categories above The category that most closely reflects the respondents recognition in his community should be used for purposes of reporting on persons who are of mixed racial or ethnic origins

Combined Race and Ethnicity (Choose one) bull HispanicLatino bull American Indian or Alaska Native bull Asian or Pacific Islander bull Black or African American bull White

Respondents are asked to select both an ethnicity and 1 or more of the above 5 racial categories (HispanicLatino is considered an ethnicity not a race category)

A 2 part question is mandatory with the ethnicity part asked first Ethnicity (Choose one)

bull HispanicLatino bull Not HispanicLatino

Race (Choose 1 or more regardless of ethnicity) bull American Indian or Alaska Native bull Asian bull Native Hawaiian or Other Pacific Islander bull Black or African American bull White

Minimum Federal Reporting Categories Each student or staff member is associated with 1 of 5 aggregate reporting categories

bull HispanicLatino bull American Indian or Alaska Native bull Asian or Pacific Islander bull Black or African American raquo White

Each student or staff member is associated with exactly 1 of the 7 aggregate reporting categories

bull HispanicLatino bull American Indian or Alaska Native bull Asian bull Native Hawaiian or Other Pacific Islander bull Black or African American bull White bull Two or more races

Missing Information Individuals (or students parents) are asked to self Unchanged identify themselves Observer identification is required if individuals decline to choose a raceethnicity

Record Keeping Three years However if there is litigation a claim an Unchanged audit or another action involving the records original responses must be retained until the completion of the action

F4



Exhibit 1A Texas Education Agency

Texas Public School StudentStaff Ethnicity and Race Data Questionnaire

The United States Department of Education (USDE) requires all state and local education institutions to collect data on ethnicity and race for students and staff This information is used for state and federal accountability reporting as well as for reporting to the Office of Civil Rights (OCR) and the Equal Employment Opportunity Commission (EEOC)

School district staff and parents or guardians of students enrolling in school are requested to provide this information If you decline to provide this information please be aware that the USDE requires school districts to use observer identification as a last resort for collecting the data for federal reporting

Please answer both parts of the following questions on the students or staff members ethnicity and race United States Federal Register (71 FR 44866)

Parti Ethnicity Is the person HispanicLatino (Choose only one)

bull HispanicLatino - A person of Cuban Mexican Puerto Rican South or Central American or other Spanish culture or origin regardless of race

bull Not HispanicLatino

Part 2 Race What is the persons race (Choose one or more)

bull American Indian or Alaska Native - A person having origins in any of the original peoples of North and South America (including Central America) and who maintains a tribal affiliation or community attachment

bull Asian - A person having origins in any of the original peoples of the Far East Southeast Asia or the Indian subcontinent including for example Cambodia China India Japan Korea Malaysia Pakistan the Philippine Islands Thailand and Vietnam

bull Black or African American - A person having origins in any of the black racial groups of Africa

bull Native Hawaiian or Other Pacific Islander - A person having origins in any of the original peoples of Hawaii Guam Samoa or other Pacific Islands

bull White - A person having origins in any of the original peoples of Europe the Middle East or North Africa

StudentStaff Name (please print) (ParentGuardian)(Staff) Signature

Date StudentStaff Identification Number

This space reserved for Local school observer - upon completion and entering data in student software system file this form in students permanent folder Ethnicity -choose only one Race - choose one or more

American Indian or Alaska Native Hispanic Latino Asian

Black or African American Not HispanicLatino Native Hawaiian or Other Pacific Islander

White

Observer signature Campus and Date

Texas Education Agency -March 2010

F5



Exhibit 1B Agenda de Educacion de Texas

Cuestionario de Informacion de Dates Raciales y de Etnicidad de EstudiantesMiembros de Personal de las Escuelas Publicas de Texas

El Departamento de Educacion de Estados Unidos (USDE) requiere que todas las instituciones estatales y locales de educacion recopilen datos sobre etnicidad y raza de los estudiantes y de miembros de personal Esta informacion es utilizada para los reportes estatales y federates as como para reportar a la Oficina de Derechos Civiles (OCR) y a la Comision de Igualdad en el Empleo (EEOC)

Al personal del distrito escolary los padres o representante legal de estudiantes que deseen matricularse en la escuela se le requiere proporcionar esta informacion Si usted rehusa proporcionarla es importante que sepa que el USDE requiere que los distritos escolares usen la observacion para identificacion como ultimo recurso para obtener estos datos utilizados para reportes federates

Favor de contestar ambas partes de las siguientes preguntas sobre la etnicidad y raza del estudiante asi como del miembro de personal Registro Federal de Estados Unidos (71 FR 44866)

Parte 1 Etnicidad poundEs la persona HispanaLatina (Escoja solo una respuesta)

bull HispanoLatino -Una persona de origen cubano mexicano puertorriqueho centra o sudamericano o de otra cultura u origen esparto sin importer la raza

bull No HispanoLatino

Parte 2 Raza ^Cual es la raza de la persona (Escoja uno o mas de uno)

bull Indio Americano o Nativo de Alaska- Una persona con origenes o de personas originarias de Norte y Sudamerica (incluyendo America Central) y que mantiene lazes o apego comunitario con una afiliacion de alguna tribu

bull Asiatico -Una persona con origenes o de personas originarias del Lejano Este Sureste de Asia o el subcontinente indio incluyendo por ejemplo a Cambodia China India Japon Corea Malasia Pakistan las Islas Filipinas Tailandia y Vietnam

bull Negro o Africo-Americano- Una persona con origenes de cualquier grupo racial negro de Africa

bull Nativo de Hawai u otras islas del paclfico- Una persona con origenes o de personas originarias de Hawai Guam Samoa u otras islas del Paclfico

bull Blanco - Una persona con origenes de personas originarias de Europa el Medio Este o el Norte de Africa

Nombre del EstudianteMiembro de Personal Firma (PadreRepresentante legal) (por favor use letra de imprenta) (Miembro de personal

Numero de Identificacion del Fecha EstudianteMiembro del personal

This space reserved for Local school observer- upon completion and entering data in student software system file this form in students permanent folder Ethnicity -choose only one Race - choose one or more

Hispanic Latino American Indian or Alaska Native Not HispanicLatino Asian

Black or African American Native Hawaiian or Other Pacific Islander White

Observer signature Campus and Date Agenda de Educacion de Texas - Marzo 2009

F6


TLCA - TEXAS LEADERSHP CHARTER ACADEMY

Dear ParentGuardian

Children need healthy meals to learn TLCA offers healthy meals every school day Breakfast costs K-8 $125 9-12 $145 lunch costs K-8 $235 9-12 $265 Your children may qualify for free meals or for reduced-price meals Reduced price is 30 for breakfast and 40 for lunch The following questions and answers will provide information about the Free and Reduced-Price Meal Program

1 DoIneed to fill out an application for each child

No Complete one Free and Reduced-Price School Meals Application to apply for free or reduced-price meals for all children in the household We cannot approve an incomplete application so be sure to fill out all required information Return the completed application to Leon Temazas 325-653-3200

2 Who can get free meals

bull IncomemdashYour children can get free or reduced-price meals if your households gross income (total without deductions) is within the limits described on the FederalIncome Eligibility Guidelines

bull Special Program ParticipantsmdashAll children in households receiving benefits from the Supplemental Nutrition Assistance Program (SNAP) Food Distribution Program on Indian Reservations (FDPIR) or Temporary Assistance for Needy Families (TANF) can get free meals regardless of income Children who attend Head Start Early Head Start and Even Start are also eligible for free meals

bull FostermdashFoster children under the legal responsibility of a foster care agency or court are eligible for free meals A foster child is eligible for free meals regardless of the income of his or her resident household

Homeless Runaway and MigrantmdashChildren who meet the definition of homeless runaway or migrant qualify for free meals If you havent been told about a childs status as homeless runaway or migrant please call or email SHAVAA SMTH 325-653-3200 ex7237 SSMTHrLCA-SACOM

3 ShouldIfill out an applicationifIreceived a letter this school year saying my children are approved for free meals

Carefully read the letter you received and follow the instructions Call your childs school at 325-653-3200 ex7137 if you have questions

4 My childs application was approvedlast year DoIneed to fill out another one

Yes Your childs application is only good for one school year and the first few days of this school year You must send in a new application unless the school told you that your child is eligible for this school year

5 Iget WIC can my child(ren) get free meals

Children in households participating in WIC may be eligible for free or reduced-price meals please fill out an application

6 What ifmy income is not always the same

List the amount that you normally receive Even if you missed some work in the last month put down your usual pay If you normally get overtime pay include it If you have lost a job or had your hours or wages reduced use your current income

7 We are in themilitary

Do we include ourhousing allowance as income

If you get an off-base housing allowance it must be included as income If your housing is part of the Military Housing Privatization Initiative do not include your housing allowance as income

Is combat pay counted as income

No if combat pay is received because of deployment in addition to basic pay and was not received before deployment combat pay is not counted as income

8 MayIapply if someone in my household is not a US citizen

Yes You or your child(ren) do not have to be US citizens to qualify for free or reduced-price meals

9 Will the informationIgive be checked

Yes and we may also ask you to send written proof 10IfIdont qualify now mayIapply later

Yes You may apply at any time during the school year If your household income or circumstances change you may become eligible for free or reduced-price meals

11 Who shouldIinclude as members ofmy household

You must include yourself as well as others living with you who share income and expensesmdashrelated to you or not (grandparents other relatives or friends Do not include others who live with you who are economically independentmdashthat is anyone you do not support does not share income with you and does pay a pro-rated share of expenses

12 WhatifIdisagree with the schools decision about my application

You should talk to school officials You also may ask for a hearing by calling or writing to RON LEDBETTER 325-653-3200 ex7002

13My family needs morehelp Are there otherprograms we might apply for

To find out how to apply for other assistance benefits contact your local assistance office or 2-1-1

If you have other questions or need help call Leon Terrazas325-653-3200

Si necesita ayuda por favor llame al telefono Leon Terrazas 325-653-3200

Sincerely

Leon Terazas Food Servce Manager

Page 1


Multi-Child and Multi-Use Free and Reduced Price School Meals

Applications for 2013-2014

More Information on How to Report Your Income on the Application

- Gross IncomemdashRecord the amount earned before taxes and other deductions

- How Often Income Is ReceivedmdashRecord type of income received for the monthmdashweekly every Income Eligibility Reduced-Price GuidelinesmdashJuly 12013-June 302014

other week twice a month or monthly and not the Family Twice Per Every TwoAnnually Monthly Weekly

take-home pay You should be able to find this Size Month Weeks

information on your paystub or ask your boss 1 $21257 $1772 $886 $818 $409

- All Other IncomemdashRecord Workers Compensation 2 $28694 $2392 $1196 $1104 $552 unemployment or strike benefits regular 3 $36131 $3011 $1506 $1390 $695 contributions from people who do not live in your

4 $43568 $3631 $1816 $1676 $838 household and any other income Do not include

5 $51005 $4251 $2126 $1962 $981income from SNAP FDPIR WIC federal education benefits and foster payments received from the 6 $58442 $4871 $2436 $2248 $1124

placing agency For ONLY the self-employed 7 $65879 $5490 $2745 $2534 $1267 under Earnings from Work Before Deductions 8 $73316 $6110 $3055 $2820 $1410 report income after expenses This is for your For eachadditional familymember add business farm or rental property If you are in the

+ $7437 + $620 + $310 + $287 + $144 Military Privatized Housing Initiative or get combat pay do not include these allowances as income

Application Instructions

Not everyone has to complete everypart of the application The following table lists the parts of the application youmust complete based on householdcircumstances

Your household receives any of the following benefits Complete Parts 1 2 amp 5 (not necessary to

- Supplemental Nutrition Assistance Program (SNAP) provide last 4 digits of Social Security number)- Temporary Assistance for Needy Families (TANF) or

- the Food Distribution Program on Indian Reservations (FDPIR)

Any child in your household has been identified as Complete Parts 1 3 4 (for any child not listed

- homeless in Part 3) amp Part 5

- migrant or

- runaway

but no one in the household receives state SNAP or TANF benefits

Complete Parts 1 amp 5 (not necessary to

All children in the home are foster children placed by a foster care agency or court provide last 4 digits of Social Security number)

Some of the children in the home are foster children placed by a foster care agency or Complete Parts 1 2 if applies 3 if applies 4 amp

court 5

The household receives WIC Complete Parts 1 2 3 4 amp 5

All other households Complete Parts 1 2 34 amp 5

Multi-Use FormmdashOnly if asked to complete a multi-use form Complete Part 6 Optional

Page 2


TLCA - TEXAS LEAOERSHP CHARTER ACADEMY

Multi-Child Free and Reduced Price School Meals Application for 2013-2014

Part 1 All Children inSchool in the HouseholdmdashIf all children listed below are foster childrenplaced by a foster care agency or PartPartPart 222 BenefitsmdashIfBenefitsmdashIfBenefitsmdashIf anyanyany membermembermember ofofof youryouryour householdhouseholdhousehold court skip to Part 5and sign this form receivesreceivesreceives SNAPSNAPSNAP FDPIRFDPIRFDPIR orTANForTANForTANF ppprovideroviderovide thethethe

EligibilityEligibilityEligibility DeterminationDeterminationDetermination NumberNumberNumber (EDG)(EDG)(EDG) forforfor thethetheList the names of all children in school in your Check for each personpersonperson whowhowho receives benefitsreceives benefitsreceives benefits andandand skipskipskip tototo PartPartPart 555 IfIfIfhousehold (First Middle Initial Last) List the name of the school for each child foster child nonono oneoneone receivesreceivesreceives thesethesethese benefitsbenefitsbenefits skipskipskip tototo PartPartPart 333

1 bull 2 bull EDG

3 bull PartPartPart 333 IfIfIf anyanyany childchildchild youyouyou are applyingare applyingare applying forforfor isisis homelesshomelesshomeless

4 migrantmigrantmigrant ororor aaa runawayrunawayrunaway checkcheckcheck thethethe appropriateappropriateappropriate boxboxboxbull andandand callcallcall youryouryour childschildschilds schoolschoolschool

5 o

6 0 bull Homeless

7 bull bull Migrant

8 bull bull Runaway

Part 4 TotalHousehold Gross Income

B Provide the gross income for each person in the householdand how often the income is received Enter the amount in the first line

under the appropriate type of income Enter the abbreviation for how often you receive the income in the second blank (A=Annually M=Monthly T=Twice Per Month E=Every Two Weeks W=Weekly)

Pensions Retirement

Earnings from Work Before Welfare Child Support Social Security SSI or VA CheckCheck IfIf AA ListList thethe namesnames ofof allall householdhousehold membersmembers Deductions Alimony Benefits All Other Income NoNo

(Example) Jane Smith $19900E $14900M $9900M $5000T IncomeIncome

1 $ $ $ $ bull 2 $ $ $ $ bull 3 $ $ $ $ bull 4 $ $ $ $ bull 5 $ $ $ $ bull 6 $ $ $ $ bull 7 $ $ $ $ bull 8 $ $ $ $ bull Part 5 Sianature andLast Four Diaits of Social Security NumbermdashAn adult household member must sian the aoolication If Part 4 is completed the adult siqninq the form also must list the last four digits of hisher Social Security number or mark the box in front of1do not have a Social Security number

1 certify (promise) that alt information on this application is true and that allincome is reported 1 understandthat the school willget federal funds based on the information 1 give 1 understand that schoolofficials may verify (check) the information 1understand thatif 1purposely give false information my children may lose meal benefits and 1may beprosecuted

Sign Here Print Name Here

Date

Address Phone Number

Citv State Zip Code

Last Four Digits of Social Security Number __ D | jo not have a Social Security number

Do Not Fill Out This Part This IsFor School Use Only

Multiple income frequencies must be converted to annual amountsand combined to determine householdincome Do not convertif onlyone income frequencyis providedby the household Ifconverting income to annual roundonly the finalnumber-Annual Income Conversion Weekly x 52 | Every 2 Weeks x 26 Twice a Month x 24 | Monthlyx12

Total Income Per bull Week bull Every 2 Weeks bull Twice a Month n Month n Year Household Size

bull Categorical Eligibility bull Meal Eligibility bull Free bull Reduced bull Denied

Determining Officials Signature Date

Confirmina Officials Sianature Date

Follow -Up Officials Signature Date

Non-discrimination Statement This explains what to do if you believe you have been treated unfairlyThe US Department of Agriculture prohibitsdiscrimination against its customers employees and applicants for employment on the bases of race color nationalorigin age disability sex gender identity religion reprisal and where applicable political beliefs marital

status familial or parental status sexual orientation or all or part of an individuals income is derived from any public assistance program or protected genetic information in employment or in any program or activity conducted or funded by the Department (Not all prohibited bases will apply to all programs andor employment activities) If you wish to file a Civil Rights program complaint of discrimination complete the USDA Program Discrimination ComplaintForm found online at httpwwwascrusdagovcomplaint_filing_custhtml orat any USDA office or call

(866) 632-9992 to request the form You may also write a letter containing all of the information requested in the form Send your completedcomplaint form or letter to us by mail at

US Department of Agriculture Director Office of Adjudication 1400 Independence Avenue SW Washington DC 20250-9410 by fax (202) 690-7442 or email at

programintakeusdagov Individuals who are deaf hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339 or (800) 845-6136

(Spanish) USDA is an equal opportunity provider and employer

Page 1



Extra Household Member Reporting Sheet

Use this sheet if needed to report additional children in the household or additional household members

Part 1 All Children in School in the HouseholdmdashIf all children listed below are foster children placedby a foster care agency or court skip to Part 5 andsign this form

List the names of all children in school in Check for each your household (First Middle Initial Last) List the name of the school for each child foster child

9 bull 10 bull 11 bull 12 bull 13 bull 14 bull 15 bull 16 bull 17 bull 18 bull 19 bull 20 bull Part 4 Total Household Gross Income

B Provide the gross income for each personin the household and how often the income is received Enter theamount in the first line under the appropriate type of income Enter the abbreviation for how often you receive the income in the second blank

(A=Annually M=Monthly T=Twice Per Month E=Every Two Weeks W=Weekly)

Pensions Retirement

AA ListList thethe namesnames ofof allall householdhousehold Earnings from Work Before Welfare Child Support Social Security SSI orVA CheckCheck IfIf membersmembers Deductions Alimony Benefits All Other Income NoNo


9 $ $ $ $ bull

10 $ $ $ $ bull 11 $ $ $ $ bull 12 $ $ $ $ bull 13 $ $ $ $ bull 14 S $ $ $ bull 15 $ $ S $ bull

16 $ $ $ $ bull

17 $ $ $ $ bull

18 $ $ $ $ bull

19 $ $ $ $ bull

20 $ $ $ $ bull

The Richard B Russell National School Lunch Act requires the information on this application You do not have to give the information but if you do not we cannot approve your child for free or reduced-price meals You must include the last four digits of the Social Security number of the adult household member who signs the application The last four digits of the Social Security number is not required when you apply on behalf of a foster child or you list a Supplemental Nutrition Assistance Program (SNAP) Temporary Assistance for Needy Families (TANF) or Food Distribution Programon Indian Reservations (FDPIR) casenumber or other FDPIR identifier for your child or when you indicate that the adult household member signing the application does not have a Social Security number We will use your information to determine if your child is eligible for free or reduced-price meals and for administration and enforcement of the lunch and breakfast programs We MAY share your eligibility information with education health and nutrition programs to help themevaluate fund or determine benefits for their programs auditors for program reviews and law enforcement officials to help them look into violations of program rules

Page 2


TLCA- TEXAS LEAOERSHP CHAPTER ACADEMY Multi-UseMulti-Child Free and Reduced Price School Meals Application for 2013-2014

Part 1 All Children in School in the HouseholdmdashIf all children listed below are foster children placed by a foster care agency or PartPart 22BenefitsmdashIfBenefitsmdashIf anyany membermember ofof youryour householdhousehold court skip to Part 5 and sign this form receivesreceives SNAPSNAP FDPIRFDPIR orTANForTANF provideprovide thethe EligibilityEligibility

DeterminationDetermination NumberNumber (EDG)(EDG) forfor thethe personperson whowho List the names of all children in school in your Check for each receivesreceives benefitsbenefits and skipand skip toto PartPart 55 IfIf nono oneone receivesreceives

household (First Middle Initial Last) List the name of the school for each child foster child thesethese benefitsbenefits skipskip toto PartPart 33

1 bull EDG

2 bull PartPartPart 333 IfIfIf anyanyany childchildchild youyouyou are applyingare applyingare applying forforfor isisis homelesshomelesshomeless 3 migrantmigrantmigrant ororor aaa runawayrunawayrunaway checkcheckcheck thethethe appropriateappropriateappropriate boxboxbox andandandbull

callcallcall youryouryour childschildschilds schoolschoolschool 4 bull 5 bull bull Homeless

6 bull bull Migrant

7 0 bull Runaway


B Provide the gross income for each person in the household and how often the income is receivedEnter the amount in the first line under the appropriate type of income Enter the abbreviation for how often you receive the income in the second blank (A=Annually M=Monthly T=Twice Per Month E=Every Two Weeks W=Weekly)

Pensions Retirement Earnings from Work Before Welfare Child Support Social Security SSI or VA CheckCheck

A List the names of all household members Deductions Alimony Benefits All Other Income IfIf NoNo (Example) Jane Smith $19900E $14900M S9900M $5000T IncomeIncome

1 $ $ $ $ bull 2 $ $ $ $ bull 3 $ $ $ $ bull 4 $ $ $ $ bull 5 $ $ $ $ bull 6 $ $ $ $ bull 7 $ $ $ $ bull Part 5 Signature andLast Four Digits of Social Security NumbermdashAn adult household member must sign the application If Part 4 is completed the adult signing the form also must list the last four digits of hisher Social Security number or mark the box in front of I do not havea Social Security number

Icertify (promise) that allinformation on this application is true and that all income is reportedIunderstand that the school willget federal funds based on the informationIgive Iunderstand that school officials may verify (check) the information Iunderstand that ifIpurposely give false information my children may lose meal benefits andImay beprosecuted


Date


City State Zip Code

Last Four Digits of Social Security Number -- bull I do not have a Social Security number

Part 6 Sharing InformationWith Other ProgramsOPTIONAL

For the following programs we must have your permission to share your information Please circle any program or benefit from the list below that you want to receive information from this application Completing this section will not change whether your children are eligibility for free or reduced-price meals

Programs

Do Not Fill OutThis Part This Is ForSchool Uso Only

Multiple income frequencies mustbe converted to annualamounts and combined to determine household income Do not convert if only one income frequencyis providedby the household If converting income to annual roundonly the finalnumbermdashAnnual Income Conversion Weekly x 52 | Every 2 Weeks x 26 | Twice a Month x 24 | Monthly x 12

Total Income Per bull Week bull Every 2 Weeks bull Twice a Month bull Month bull Year Household Size



Confirming Officials Signature Date

Follow-Up Officials Signature Date

Non-discrimination Statement This explains what to do if you believe you have been treated unfairly The US Department of Agricultureprohibits discrimination against its customers employees and applicants for employment on the bases of race color national origin age disability sex gender identity religion reprisal andwhere applicable political beliefs marital status familial or

parental status sexual orientation or allor part of an individuals income is derived from any public assistance program or protected genetic information in employment or in any program or activity

conducted or funded by the Department (Not all prohibited bases will apply to all programs andor employment activities) If you wish to file a Civil Rights program complaint of discrimination complete the USDA Program Discrimination Complaint Form found online athttpwwwascrusdagovcomplaint_filing_custhtml or at any USDA office or call (866) 632-9992 to request the form

You may also write a letter containing all of the information requested in the form Send your completed complaint form or letter to us by mail at US Department of Agriculture Director Office of

Adjudication 1400 Independence Avenue SW Washington DC 20250-9410 by fax (202) 690-7442 or email at programintakeusdagov Individuals who are deaf hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339 or (800) 845-6136 (Spanish) USDA is an equal opportunity provider and employer

Page 1


Multi-UseMulti-Child Free and Reduced Price School Meals Application for 2013-2014



Part 1All Children in School in the HouseholdmdashIf all childrenlisted below are foster children placed by a fostercare agency or court skip to Part5 and sign this form


8 bull 9 bull 10 bull 11 bull 12 bull 13 bull 14 bull 15 bull 16 bull 17 bull 18 bull 19 bull 20 bull Part 4 Total Household Gross Income

B Provide the gross income for eachperson in the household and how often the incomeis received Enter the amount in the first line under the appropriate type of incomeEnter the abbreviation for how often you receive the incomein the secondblank (A=Annually M=Monthly T=Twice Per Month E=Every Two Weeks W=Weekly)

Pensions Retirement AA ListList thethe namesnames ofof allall householdhousehold Earnings from Work Before Welfare Child Support Social Security SSI or VA CheckCheck IfIf membersmembers Deductions Alimony Benefits All Other Income NoNo

(Example) Jane Smith $19900E S14900M $9900M $5000T IncomeIncome

8 $ $ $ $ bull 9 $ $ $ $ bull 10 $ $ $ S bull 11 $ $ $ $ bull 12 $ $ $ $ bull 13 $ $ $ $ bull 14 $ $ $ $ bull 15 $ $ $ $ bull 16 $ $ $ $ bull 17 $ $ $ $ bull 18 $ $ $ $ D

19 $ $ $ $ bull 20 $ S $ $ bull

The Richard B Russell National School Lunch Act requires the information on this application You do not have to give the information but if you do not we cannot approve your child for free or reduced-price meals You must include the last four digits of the Social Security number of the adult household member who signs the application The last four digits of the Social Security number is not required when you apply on behalf of a foster child or you list a SupplementalNutrition Assistance Program (SNAP) Temporary Assistance for Needy Families (TANF) or Food Distribution Program on Indian Reservations (FDPIR) case number or other FDPIR identifier for your child or when you indicate that the adult household member signing the application does not have a Social Security number We will use your information to determine if yourchild is eligible for free or reduced-price meals and for administration and enforcement of the lunch and breakfast programs We MAY share your eligibility information with education health and nutrition programs to help them evaluate fund or determine benefits for their programs auditors for program reviews and law enforcement officials to help them look into violations of program rules

Page 2

2012-2013 Texas Minimum State Vaccine Requirements for Students Grades K-12

This chart summarizes the vaccine requirements incorporated in the Texas Administrative Code (TAG) Title 25 Health Services Sections 9761 to

9772 This chart is not intended as a substitute for consulting the TAC which has other provisions and details Click here for complete TAC language

The Department of State Health Services (DSHS) is granted authority to set immunization requirements by the Texas Education Code Chapter 38 Health amp Safety Subchapter A General Provisions

IMMUNIZATION REQUIREMENTS

A student shall show acceptable evidence of vaccination prior to entry attendance or transfer to a child-care facility or public or private elementary or secondary school in Texas

Minimum Number of Doses Required by Grade LevelVaccineVaccine RequiredRequired NOTESNOTESraquoyth(Attention(Attention toto notesnotes andand footnotes)footnotes) K - 3rd 4th- 6th 8th - 10th 11th- 12th

5 doses of diphtheria-tetanus-pcrtussis vaccineone dose must have been 3 dose received on or after the 4th birthday However 4 doses meet the5 doses or

primary requirement if the 4lh dose was received on or after the 4th birthday For 4 doses 3 dose primary series students aged 7 years and older3 doses meet the requirement if one doseseries andDiphtheriaTetanusPertussis 5 doses or and 1 TdapTd booster was received on or after the 4th birthday1 TdapTd

(DTaPDTPDTTdTdap)1 4 doses within last 10years For 7lh grade 1 dose of Tdap is required if at least 5years have passedbooster since the last dose of tetanus- containing vaccine

within last For 8th- 12111 grade 1 dose of Tdap is required when 10 years have passed

5years since the last dose of tetanus-containing vaccine Td is acceptable in place of Tdap if a medical contraindication to pertussis exists

4 doses of polio one dose must be received on or after the 4lh birthday4 doses or 4 doses or 4 doses or 4 doses or 4 doses orPolio1 However 3 doses meet the requirement if the 3rd dose was received on or3 doses 3 doses 3 doses 3 doses 3 doses after the 4th birthday

The first dose of MMR must be received on or after the 1st birthday Measles Mumps and Rubella12 2 doses For K - 3rd grade 2 doses of MMR are required

2 doses 2 doses 2 doses For 4th - 12Ih grade 2 doses of a measles-containing vaccine and one(MMR) dose each of rubella and mumps vaccine is required

For students aged 11-15 years 2 doses meet the requirement if adult Hepatitis B2 3 doses 3 doses 3 doses 3 doses 3 doses hepatitis B vaccine (Recombivax) was received Dosage and type of

vaccine must be clearly documented (Two 10 mcg10 ml of Recombivax)

The first dose of varicella must be received on or after the first birthday For grades K- 3rd and 7th - 10lh 2 doses are required

Varicella123 2 doses 1 dose 2 doses 1 dose 1 dose is required for all other grade levels For any student who receives the first dose on or after 13 years of age 2 doses are required

Meningococcal 1 dose

Hepatitis A12 2 doses The first dose of hepatitis A must be received on or after the first birthday

1 Receipt of the dose up to (and including) 4 days before the birthday will satisfy the school entry immunization requirement 2 Serologic confirmation of immunity to measles mumps rubella hepatitis B hepatitis Aor varicella or serologic evidence of infection is acceptable in place of vaccine 3 Previous illness may be documented with a written statement from a physician school nurse or the childs parent or guardian containing wording such as This is to verify that (name of student) had varicella disease (chickenpox) on or about (date) and does not need varicella vaccine This written statement will be acceptable in place of any and all varicella vaccine doses required

Exemptions The law allows (a) physicians to write a statement stating that the vaccine(s) required would be medically harmful or injurious to the health and well-being of the

child or household member and (b) parentsguardians to choose an exemption from immunization requirements for reasons of conscience including a religious

belief The law does not allow parentsguardians to elect an exemption simply because of inconvenience (for example a record is lost or incomplete and it is too

much trouble to go to a physician or clinic to correct the problem) Schools and child-care facilities should maintain an up-to-date list of students with exemptions

so they may be excluded in times of emergency or epidemic declared by the commissioner of public health

Instructions for requesting the official exemption affidavit that must be signed by parentsguardians choosing the exemption for reasons of conscience including a religious belief can be found at wwwImmunizeTexascom Original Exemption Affidavit must be completed and submitted to the school or child-care facility

For children claiming medical exemptions a written statement by the physician must be submitted to the school or child-care facility

Provisional Enrollment

All immunizations should be completed by the first date of attendance The law requires that students be fully vaccinated against the specified diseases A student

may be enrolled provisionally if the student has an immunization record that indicates the student has received at least one dose of each specified age-appropriate

vaccine required by this rule To remain enrolled the student must complete the required subsequent doses in each vaccine series on schedule and as rapidly as is

medically feasible and provide acceptable evidence of vaccination to the school A school nurse or school administrator shall review the immunization status of a

provisionally enrolled student every 30 days to ensure continued compliance in completing the required doses of vaccination If at the end of the 30-day period a

student has not received a subsequent dose of vaccine the student is not in compliance and the school shall exclude the student from school attendance until the

required dose is administered

Documentation

Since many types of personal immunization records are in use any document will be acceptable provided a physician or public health personnel has validated it

The month day and year that the vaccination was received must be recorded on all school immunization records created or updated after September 1 1991

_ + bullVpoundKTEXAS zm Department of

State Health Services

Texas Department of State Health Services bull Immunization Branch bull MC-1946 bull PO Box 149347 bull AustinTX 78714-9347 bull (800) 252-9152 Stock 6-14 Rev 01242012

Requisites de vacunacion minimos estatales de Texas de 2012-2013 para estudiantes de kinder-12deg grado Este grafico resume los requisites de vacunacion incorporados en el Codigo Administrative de Texas (o TAC) titulo 25 Servicios de salud Secciones 9761 a 9772 El grafico no tiene como proposito sustituir las consultas al TAC el cual contempla otras disposiciones y detalles Haga die aqui para obtener el texto completo del TAC

El Codigo Educative de Texas capitulo 38 Salud y Seguridad subcapitulo A Disposiciones Generates concede la autoridad de establecer requisites de inmunizacion al Departamento Estatal de Servicios de Salud de Texas (o DSHS)

REQUISITOS DE INMUNIZACION

Los estudiantes deberan mostrar comprobantes de vacunacion aceptables antes de entrar asistir o ser transferidos a una guarderia o escuela prima ria o secundaria publica o privada de Texas

VacunaVacuna requeridarequerida Numero minimo de dosis requeridas por nivel de grado (Vea(Vea laslas notasnotas yy laslas

notasnotas dede piepie dede pagina)pagina) Kinder - 3deg 4deg-6 7deg

o00

11deg- 12deg NOTASNOTAS

Serie primaria Serie primaria de 3

de 3 dosis y 1 dosis y 1 dosis de

dosis deDifteria tetanos y pertusis 5 dosis o 5 dosis o refuerzo de la

refiierzo de la(DTaP DTP DT Td Tdap)1 4 dosis 4 dosis vacuna Tdap 0 Td

vacuna Tdap o en los ultimos 10

Td en los alios

ultimos 5 ailos

4 dosis o 4 dosis o 4 dosis o 4 dosis 0 4 dosis 0Polio1

3 dosis 3 dosis 3 dosis 3 dosis 3 dosis

Sarampion paperas y rubeola12 2 dosis2 dosis 2 dosis 2 dosis

(MMR)

Hepatitis B2 3 dosis 3 dosis 3 dosis 3 dosis 3 dosis

Varicela123 2 dosis 1 dosis 2 dosis 1 dosis

Meningococica 1 dosis

Hepatitis A12 2 dosis

1 Rccibir la dosis hasta (e inclusive) 4 dias antes del cumpleanos satisfara el requisito de inmunizacion para entrara la escuela

5 dosis de la vacuna contra ladifteria el tetanos y la pertusis debe haberse recibido una dosis en 0 despues del 4degcumpleanos Sin embargo con 4 dosis se cumple con el requisite si la 4 dosis se recibio en 0 despues del 4deg cumpleanos Los estudiantes de 7 anos de edad 0 mas con 3 dosis cumplen con el requisite si recibieron una dosisen 0 despues del 4deg cumpleanos Para el 7deg grado se requiere 1 dosis de la vacuna Tdap si ban pasado al menos 5 anos desde la ultima dosis de una vacuna que contenga tetanos Para los grades de 8deg-12deg se requiere 1 dosis de la vacuna Tdap si ban pasado 10 anos desde la ultima dosis de una vacuna que contenga tetanos La vacuna Td es aceptable en lugar de la vacuna Tdap si existe una contraindicacion medica con respecto a la vacuna contra lajDertusis^_

4 dosis de la vacuna contra la polio debe recibirse una dosis en 0 despues del 4deg cumpleanos Sin embargo con3 dosis se cumple con el requisite si la 3 dosis se recibio en 0 despues del 4deg cumpleanos

La primera dosis de la vacuna MMR debe recibirse en 0 despues del 1trade cumpleanos Para el kinder-3er grado se requieren 2 dosis de la vacuna MMR Para los grades de 4deg-12deg se requieren 2 dosis de una vacuna que contenga sarampion y una dosis de la vacuna contra la rubeola y una de la vacuna contra las paperas

Los estudiantes de 11-15 anos de edad con 2 dosis cumplen con el requisite si recibieron la vacuna contra la hepatitis B para adultos (Recombivax) Deben documentarse claramente la dosis y cl tipo de vacuna (Dos dosis de 10 meg10 ml de Recombivax)

La primera dosis de la vacuna contra la varicela debe recibirse en 0 despues del ler cumpleanos Para el kinder-3er y 7deg-10deg grado se requieren 2dosis Sc requiere 1 dosis para todos los demas niveles de grado Se requieren 2 dosis para todos los estudiantes que reciban la primera dosis en 0 despues de los 13 anos de edad

La primera dosis de la vacuna contra la hepatitis A debe recibirse en 0 despues del lcr cumpleanos

La confirmacion serologicade la inmunidad al sarampion las paperas la rubeola la hepatitis B la hepatitis A o la varicela o la evidencia serologica de infeccion son aceptables en lugar de la vacuna 3 La enfermcdad previa puede documentarse con una declaracion escrita de un medico una enfermera escolar o el padre o tutor del nino que diga algo como Estoes para vcrificar que (nombre del estudiante) tuvo varicela el

(fecha) o por esa fecha y no necesita la vacuna contra la varicela Dicha declaracion escrita sera aceptable en lugar de todas las dosis requeridas de la vacuna contra la varicela

Exenciones

La ley permite que (a) los medicos redacten una declaracion en la que expongan que la vacuna o vacunas requeridas serlan medicamente daninas o perjudiciales

para la salud y el bienestar del nino o de una persona que vive en la casa y que (b) los padres o tutores elijan una exencion de los requisitos de inmunizacion por razones de conciencia incluso creencias religiosas La ley no permite que los padres o tutores elijan una exencion simplemente por inconveniencia (por ejemplo si

se pierde un registro o este esta incompleto y serfa mucha molestia ir con un medico o cllnica para corregir el problema) Las escuelas y las guarderlas deben

mantener una lista actualizada de los estudiantes con exenciones de forma que se les pueda excluir durante emergencias o epidemias declaradas por el director de

salud publica

Encontrara instrucciones para solicitar la declaracion jurada de exencion oficial que debe ser firmada por los padres o tutores que elijan la exencion por razones de conciencia incluso creencias religiosas en wwwImmunizeTexascom La declaracion jurada de exencion original debe rellenarse y presentarse a la escuela o guarderia

En el caso de los ninos que soliciten exenciones medicas deben presentar una declaracion escrita del medico a la escuela o guarderia

Inscripcion provisional

Todas las inmunizaciones se deben finalizar antes de la primera fecha de asistencia La ley exige que los estudiantes esten completamente vacunados contra las

enfermedades senaladas Un estudiante se puede inscribir provisionalmente si el estudiante cuenta con registro de inmunizacion que indique que el estudiante ha

recibido al menos una dosis de cada vacuna apropiada para la edad especlfica que esta regla exija Para seguir inscrito el estudiante debe completar las dosis posteriores requeridas de cada serie de vacunas conforme al calendario y tan rapidamente como sea medicamente posible y proveer comprobante suficiente de la

vacunacion a la escuela Una enfermera escolar o un administrador escolar revisara el estado de inmunizacion de un estudiante inscrito provisionalmente cada 30 dlas para garantizar el cumplimiento ininterrumpido en la finalizacion de las dosis de vacunas requeridas Si al final del periodo de 30 dlas un estudiante no ha

recibido una dosis posterior de la vacuna el estudiante no esta cumpliendo y la escuela excluira al estudiante para que no asista a la escuela hasta que se administre

la dosis requerida

Doeumentacion

Dado que se usan muchos tipos de registros de inmunizacion personales cualquier documento es aceptable si un medico o el personal de salud publica lo ha

validado Debe registrarse el mes dla y ano en que se recibio la vacuna en todos los registros de inmunizacion escolares creados o actualizados despues del 1 de

septiembre de 1991

_ bullbullgt iVampTEXAS

fWn Department ol r State Health S

Texas Department of State Health Services bull Immunization Branch bull MC-1946 bull P O Box 149347 bull Austin TX 78714-9347 bull (800) 252-9152 Stock No 6-14 Rev 01242012

TTM TEXAS EDUCATIONAGENCY 1701 North Congress Ave bull AustinTexas 78701-1494 bull 512463-9734 bull 512 463-9838FAX bull wwwteastatetxus

Michael Williams CommissionerCharter Renewal Contract

FR

June 30 2014

JUL 1 1 2014Mr Raymond Meza Board Chair TLC Academy P O BOX 2240 San Angelo Texas 76902 Charier Schools

Re Charter Renewal Contract for Texas Leadership (CDN 226801)

Dear Mr Meza

I am pleased to inform you that the charter renewal is approved for Texas Leadership with a contract ending date of July 31 2024 After renewal the charter contract shall consist of the following

bull the representations and assurances made by the charter holder in the original request for application under the standard application system including all revisions made during the contingency process

bull the original contract for charter as signed by the charter holder and the State Board of Education

bull any condition amendment modification revision or other change to the charter approved by the State Board of Education or the commissioner of education including any prior renewal documents with revisions based on contingency responses

bull the final renewal application received in spring 2014 on file with the Division of Charter School Administration including any revisions required by the agency and any amendments to the charter made through the renewal application and

bull all statements assurances commitments and representations madeby the charter holder in its application for charter renewal and its attachments or related documents to the extent that these documents are consistent with those listed above

By accepting these renewal terms the charter holder represents that it understands that the charter holder including any and all governance at whatever level whether appointed or elected employees agents and volunteers shall fully cooperate with every Texas Education Agency investigation andor sanction deemed necessary by the commissioner based on authority and responsibility given to the commissioner in state or federal law This means that Texas Education Agency staff may conduct confidential interviews of charter school personnel and contractors outside the presence of representatives of the charter schools administration and board and that failure to timely reply with reasonable requests for access to site personnel documents or other materials andor items is a material violation of the contract for charter

Mr Raymond Meza Board Chair TLC Academy Page 2

By accepting these renewal terms the charter holder represents that it is understood by all parties that if the charter holder loses its 501(c)(3) tax exempt status for any period of time through action of the Internal Revenue Service or any other action which renders the charter holder no longer an eligible entity within the meaning of TEC sect12101(a) the charter contract shall be rendered void and it shall automatically return to the Texas Education Agency without any other action having to be taken by the commissioner

Note that this contract is contingent upon legislative authorization and that the contract and the funding under state and federal law may be modified or even terminated by future legislative acts Furthermore state and federal laws and rules may periodically be adopted amended or repealed and all such changes applicable to the charter holder or its charter school(s) may modify this contract as of the effective date provided in the law or rule Nothing in the charter contract shall be construed to entitle the charter holder to any privilege or benefit including any funding but in accordance with state and federal laws in effect and as they may in the future be amended A contract term that conflicts with any state or federal law or rule is superseded by the law or rule to the extent that the law or rule conflicts with the contract term

To acknowledge acceptance of this renewed contract the chair of the charter holder board must sign below and return the entire original document to

Texas Education Agency Division of Charter School Administration

William B Travis Building Room 5-107 1701 North Congress Avenue

Austin Texas 78701-1494

The charter holder should keep a copy of the document for its files Please contact the Division of Charter School Administration at (512) 463-9575 with any questions

Sincerely

D JUL 2014

MicMel Williams mmissioner of Education

Ch J0lsMWrs

cc Dr John Landers Superintendent

I the undersigned hereby certify that the governing body of the charter holder has accepted and agreed to the charter renewal agreement for Texas Leadership as outlined in the foregoing letter and has authorized me to sign below

Agreed-end Accepted

V-7

Mr Raymond Meza Date

Board Chair TLC Academy

Update Data Provided by TEA

I 226801002

TEXAS LEADERSHIP OF MIDLAND

3300 THOMAS AVENUE

MIDLAND TX 79703

Grade Levels Currently Served 2013-2014

KG 01 02 03 04

Texas Leadership of Midland projected expansion to KG-12 by 2018-2019 school year

Section II

Contact Information



















Page 9

Section III

Website Postings







Page 10

Section IV




Page 11

Section V

Admission Policy












C Yes

(bull No



Page 12










(bull Yes

r No




Page 12


Admission Polk



0415


NOT APPLICABLE







fJJOOZ


Page 13


Admission Policy




Not applicable






f2J002


Page 13


Admission Policy


(bullYes

C No




Submit







Page 14

Section VI




RAYMOND MEZA


Page 15

Section VII










Page 16






NA




Page 17

Section VIII




(bull Yes

CNo




(bull Yes

PNo



(bull Yes

CNo



RAYMOND MEZA


Page 18

Section IX




RAYMOND MEZA



Page 19

Section X






3i im




0


1

Board Of Directors

ChancellorCEO

I



Business Clerk


Resources

Operations Manager



Not Applicable





approval
















Exclusions










Students Name



Current School


City State Zip

















I San Angelo TX 76906 3256533200

X8 XiV




















Office 3256533200








YesNo







White








Current

Previous

Previous




Yes No Other



Both Parents Father

Other Mother


FatherGuardian




MotherGuardian




Father Yes

Mother Yes_



No

No

Job

Job

Rank

Rank

Primary Contact

Home Phone

Work Phone

Cell Phone

Primary Contact|

Home Phone

Work Phone

Cell Phone

Last Name






Preferred Doctor


Preferred Hospital

Cell Phone

Dr

Preferred Dentist

Phone Name

Other Doctor

Phone

Dr Phone Dr


Phone










San Angelo TX 76904



DISCIPLINE RECORDS












Parent Name

Signature Date


I I





Principal Date





SanAngeloTX 76906 3256533200







Signature Date


Physical Address

City State Zip

Phone Number Fax




SanAngeloTX 76906 3256533200











Date




Student Name Grade

ParentGuardian Name




Allergies Yes or No


List FoodAllergy






Signature Date





2013-2014

Dear Parents










Date



San Angelo TX 76906 3256533200



Student Name Grade











OVER

























Dear Parents







Date



San Angelo TX 76906 3256533200


Student Name Grade







Students Name Date



Address Phone








San Angelo TX 76906 3256533200



Dear Parents











Address Phone








San Angelo TX 76906 3256533200


2013-2014

Student Name Grade





Date




San Angelo TX 76906 3256533200







SanAngeloTX 76906 325-653-3200

UNIFORM AGREEMENT









San Angelo TX 76906 3256533200


STUDENT




PARENT OR GUARDIAN




SPONSORING TEACHER








areas



guidelines






Parenting Classes






administration)














Date Date



San Angelo TX 76906 3256533200


















Teacher signature

Principal signature









Student Signature









For all students





higher education




Date (monthdayyear)


TLCA


Dear Parents









the form below


TLC Academy

Childs Name(s)



Email Cell Phone


Other


Email Cell Phone


Other


APPENDIX F


















F2







For Students


For Staff


F3























F4






















White



F5























F6



Dear ParentGuardian



































Sincerely


Page 1






















- migrant or

- runaway





court 5




Page 2






1 bull 2 bull EDG



5 o

6 0 bull Homeless

7 bull bull Migrant

8 bull bull Runaway




Pensions Retirement






Date


Citv State Zip Code















Page 1










Pensions Retirement



9 $ $ $ $ bull


16 $ $ $ $ bull

17 $ $ $ $ bull

18 $ $ $ $ bull

19 $ $ $ $ bull

20 $ $ $ $ bull


Page 2






1 bull EDG



6 bull bull Migrant

7 0 bull Runaway








Date


City State Zip Code




Programs













Page 1












19 $ $ $ $ bull 20 $ S $ $ bull


Page 2






































Documentation












o00







Td en los alios

ultimos 5 ailos




(MMR)














Exenciones





salud publica









la dosis requerida

Doeumentacion



septiembre de 1991






FR

June 30 2014



Dear Mr Meza
















Sincerely

D JUL 2014


Ch J0lsMWrs



Agreed-end Accepted

V-7



Section II

Contact Information



















Page 9

Section III

Website Postings







Page 10

Section IV




Page 11

Section V

Admission Policy












C Yes

(bull No



Page 12










(bull Yes

r No




Page 12


Admission Polk



0415


NOT APPLICABLE







fJJOOZ


Page 13


Admission Policy




Not applicable






f2J002


Page 13


Admission Policy


(bullYes

C No




Submit







Page 14

Section VI




RAYMOND MEZA


Page 15

Section VII










Page 16






NA




Page 17

Section VIII




(bull Yes

CNo




(bull Yes

PNo



(bull Yes

CNo



RAYMOND MEZA


Page 18

Section IX




RAYMOND MEZA



Page 19

Section X






3i im




Page 20


1

Board Of Directors

ChancellorCEO

I



Business Clerk


Resources

Operations Manager



Not Applicable





approval
















Exclusions










Students Name



Current School


City State Zip

















I San Angelo TX 76906 3256533200

X8 XiV




















Office 3256533200








YesNo







White








Current

Previous

Previous




Yes No Other



Both Parents Father

Other Mother


FatherGuardian




MotherGuardian




Father Yes

Mother Yes_



No

No

Job

Job

Rank

Rank

Primary Contact

Home Phone

Work Phone

Cell Phone

Primary Contact|

Home Phone

Work Phone

Cell Phone

Last Name






Preferred Doctor


Preferred Hospital

Cell Phone

Dr

Preferred Dentist

Phone Name

Other Doctor

Phone

Dr Phone Dr


Phone










San Angelo TX 76904



DISCIPLINE RECORDS












Parent Name

Signature Date


I I





Principal Date





SanAngeloTX 76906 3256533200







Signature Date


Physical Address

City State Zip

Phone Number Fax




SanAngeloTX 76906 3256533200











Date




Student Name Grade

ParentGuardian Name




Allergies Yes or No


List FoodAllergy






Signature Date





2013-2014

Dear Parents










Date



San Angelo TX 76906 3256533200



Student Name Grade











OVER

























Dear Parents







Date



San Angelo TX 76906 3256533200


Student Name Grade







Students Name Date



Address Phone








San Angelo TX 76906 3256533200



Dear Parents











Address Phone








San Angelo TX 76906 3256533200


2013-2014

Student Name Grade





Date




San Angelo TX 76906 3256533200







SanAngeloTX 76906 325-653-3200

UNIFORM AGREEMENT









San Angelo TX 76906 3256533200


STUDENT




PARENT OR GUARDIAN




SPONSORING TEACHER








areas



guidelines






Parenting Classes






administration)














Date Date



San Angelo TX 76906 3256533200


















Teacher signature

Principal signature









Student Signature









For all students





higher education




Date (monthdayyear)


TLCA


Dear Parents









the form below


TLC Academy

Childs Name(s)



Email Cell Phone


Other


Email Cell Phone


Other


APPENDIX F


















F2







For Students


For Staff


F3























F4






















White



F5























F6



Dear ParentGuardian



































Sincerely


Page 1






















- migrant or

- runaway





court 5




Page 2






1 bull 2 bull EDG



5 o

6 0 bull Homeless

7 bull bull Migrant

8 bull bull Runaway




Pensions Retirement






Date


Citv State Zip Code















Page 1










Pensions Retirement



9 $ $ $ $ bull


16 $ $ $ $ bull

17 $ $ $ $ bull

18 $ $ $ $ bull

19 $ $ $ $ bull

20 $ $ $ $ bull


Page 2






1 bull EDG



6 bull bull Migrant

7 0 bull Runaway








Date


City State Zip Code




Programs













Page 1












19 $ $ $ $ bull 20 $ S $ $ bull


Page 2






































Documentation












o00







Td en los alios

ultimos 5 ailos




(MMR)














Exenciones





salud publica









la dosis requerida

Doeumentacion



septiembre de 1991






FR

June 30 2014



Dear Mr Meza
















Sincerely

D JUL 2014


Ch J0lsMWrs



Agreed-end Accepted

V-7



Section III

Website Postings







Page 10

Section IV




Page 11

Section V

Admission Policy












C Yes

(bull No



Page 12










(bull Yes

r No




Page 12


Admission Polk



0415


NOT APPLICABLE







fJJOOZ


Page 13


Admission Policy




Not applicable






f2J002


Page 13


Admission Policy


(bullYes

C No




Submit







Page 14

Section VI




RAYMOND MEZA


Page 15

Section VII










Page 16






NA




Page 17

Section VIII




(bull Yes

CNo




(bull Yes

PNo



(bull Yes

CNo



RAYMOND MEZA


Page 18

Section IX




RAYMOND MEZA



Page 19

Section X






3i im




Page 20


1

Board Of Directors

ChancellorCEO

I



Business Clerk


Resources

Operations Manager



Not Applicable





approval
















Exclusions










Students Name



Current School


City State Zip

















I San Angelo TX 76906 3256533200

X8 XiV




















Office 3256533200








YesNo







White








Current

Previous

Previous




Yes No Other



Both Parents Father

Other Mother


FatherGuardian




MotherGuardian




Father Yes

Mother Yes_



No

No

Job

Job

Rank

Rank

Primary Contact

Home Phone

Work Phone

Cell Phone

Primary Contact|

Home Phone

Work Phone

Cell Phone

Last Name






Preferred Doctor


Preferred Hospital

Cell Phone

Dr

Preferred Dentist

Phone Name

Other Doctor

Phone

Dr Phone Dr


Phone










San Angelo TX 76904



DISCIPLINE RECORDS












Parent Name

Signature Date


I I





Principal Date





SanAngeloTX 76906 3256533200







Signature Date


Physical Address

City State Zip

Phone Number Fax




SanAngeloTX 76906 3256533200











Date




Student Name Grade

ParentGuardian Name




Allergies Yes or No


List FoodAllergy






Signature Date





2013-2014

Dear Parents










Date



San Angelo TX 76906 3256533200



Student Name Grade











OVER

























Dear Parents







Date



San Angelo TX 76906 3256533200


Student Name Grade







Students Name Date



Address Phone








San Angelo TX 76906 3256533200



Dear Parents











Address Phone








San Angelo TX 76906 3256533200


2013-2014

Student Name Grade





Date




San Angelo TX 76906 3256533200







SanAngeloTX 76906 325-653-3200

UNIFORM AGREEMENT









San Angelo TX 76906 3256533200


STUDENT




PARENT OR GUARDIAN




SPONSORING TEACHER








areas



guidelines






Parenting Classes






administration)














Date Date



San Angelo TX 76906 3256533200


















Teacher signature

Principal signature









Student Signature









For all students





higher education




Date (monthdayyear)


TLCA


Dear Parents









the form below


TLC Academy

Childs Name(s)



Email Cell Phone


Other


Email Cell Phone


Other


APPENDIX F


















F2







For Students


For Staff


F3























F4






















White



F5























F6



Dear ParentGuardian



































Sincerely


Page 1






















- migrant or

- runaway





court 5




Page 2






1 bull 2 bull EDG



5 o

6 0 bull Homeless

7 bull bull Migrant

8 bull bull Runaway




Pensions Retirement






Date


Citv State Zip Code















Page 1










Pensions Retirement



9 $ $ $ $ bull


16 $ $ $ $ bull

17 $ $ $ $ bull

18 $ $ $ $ bull

19 $ $ $ $ bull

20 $ $ $ $ bull


Page 2






1 bull EDG



6 bull bull Migrant

7 0 bull Runaway








Date


City State Zip Code




Programs













Page 1












19 $ $ $ $ bull 20 $ S $ $ bull


Page 2






































Documentation












o00







Td en los alios

ultimos 5 ailos




(MMR)














Exenciones





salud publica









la dosis requerida

Doeumentacion



septiembre de 1991






FR

June 30 2014



Dear Mr Meza
















Sincerely

D JUL 2014


Ch J0lsMWrs



Agreed-end Accepted

V-7



Section IV




Page 11

Section V

Admission Policy












C Yes

(bull No



Page 12










(bull Yes

r No




Page 12


Admission Polk



0415


NOT APPLICABLE







fJJOOZ


Page 13


Admission Policy




Not applicable






f2J002


Page 13


Admission Policy


(bullYes

C No




Submit







Page 14

Section VI




RAYMOND MEZA


Page 15

Section VII










Page 16






NA




Page 17

Section VIII




(bull Yes

CNo




(bull Yes

PNo



(bull Yes

CNo



RAYMOND MEZA


Page 18

Section IX




RAYMOND MEZA



Page 19

Section X






3i im




Page 20


1

Board Of Directors

ChancellorCEO

I



Business Clerk


Resources

Operations Manager



Not Applicable





approval
















Exclusions










Students Name



Current School


City State Zip

















I San Angelo TX 76906 3256533200

X8 XiV




















Office 3256533200








YesNo







White








Current

Previous

Previous




Yes No Other



Both Parents Father

Other Mother


FatherGuardian




MotherGuardian




Father Yes

Mother Yes_



No

No

Job

Job

Rank

Rank

Primary Contact

Home Phone

Work Phone

Cell Phone

Primary Contact|

Home Phone

Work Phone

Cell Phone

Last Name






Preferred Doctor


Preferred Hospital

Cell Phone

Dr

Preferred Dentist

Phone Name

Other Doctor

Phone

Dr Phone Dr


Phone










San Angelo TX 76904



DISCIPLINE RECORDS












Parent Name

Signature Date


I I





Principal Date





SanAngeloTX 76906 3256533200







Signature Date


Physical Address

City State Zip

Phone Number Fax




SanAngeloTX 76906 3256533200











Date




Student Name Grade

ParentGuardian Name




Allergies Yes or No


List FoodAllergy






Signature Date





2013-2014

Dear Parents










Date



San Angelo TX 76906 3256533200



Student Name Grade











OVER

























Dear Parents







Date



San Angelo TX 76906 3256533200


Student Name Grade







Students Name Date



Address Phone








San Angelo TX 76906 3256533200



Dear Parents











Address Phone








San Angelo TX 76906 3256533200


2013-2014

Student Name Grade





Date




San Angelo TX 76906 3256533200







SanAngeloTX 76906 325-653-3200

UNIFORM AGREEMENT









San Angelo TX 76906 3256533200


STUDENT




PARENT OR GUARDIAN




SPONSORING TEACHER








areas



guidelines






Parenting Classes






administration)














Date Date



San Angelo TX 76906 3256533200


















Teacher signature

Principal signature









Student Signature









For all students





higher education




Date (monthdayyear)


TLCA


Dear Parents









the form below


TLC Academy

Childs Name(s)



Email Cell Phone


Other


Email Cell Phone


Other


APPENDIX F


















F2







For Students


For Staff


F3























F4






















White



F5























F6



Dear ParentGuardian



































Sincerely


Page 1






















- migrant or

- runaway





court 5




Page 2






1 bull 2 bull EDG



5 o

6 0 bull Homeless

7 bull bull Migrant

8 bull bull Runaway




Pensions Retirement






Date


Citv State Zip Code















Page 1










Pensions Retirement



9 $ $ $ $ bull


16 $ $ $ $ bull

17 $ $ $ $ bull

18 $ $ $ $ bull

19 $ $ $ $ bull

20 $ $ $ $ bull


Page 2






1 bull EDG



6 bull bull Migrant

7 0 bull Runaway








Date


City State Zip Code




Programs













Page 1












19 $ $ $ $ bull 20 $ S $ $ bull


Page 2






































Documentation












o00







Td en los alios

ultimos 5 ailos




(MMR)














Exenciones





salud publica









la dosis requerida

Doeumentacion



septiembre de 1991






FR

June 30 2014



Dear Mr Meza
















Sincerely

D JUL 2014


Ch J0lsMWrs



Agreed-end Accepted

V-7



Section V

Admission Policy












C Yes

(bull No



Page 12










(bull Yes

r No




Page 12


Admission Polk



0415


NOT APPLICABLE







fJJOOZ


Page 13


Admission Policy




Not applicable






f2J002


Page 13


Admission Policy


(bullYes

C No




Submit







Page 14

Section VI




RAYMOND MEZA


Page 15

Section VII










Page 16






NA




Page 17

Section VIII




(bull Yes

CNo




(bull Yes

PNo



(bull Yes

CNo



RAYMOND MEZA


Page 18

Section IX




RAYMOND MEZA



Page 19

Section X






3i im




Page 20


1

Board Of Directors

ChancellorCEO

I



Business Clerk


Resources

Operations Manager



Not Applicable





approval
















Exclusions










Students Name



Current School


City State Zip

















I San Angelo TX 76906 3256533200

X8 XiV




















Office 3256533200








YesNo







White








Current

Previous

Previous




Yes No Other



Both Parents Father

Other Mother


FatherGuardian




MotherGuardian




Father Yes

Mother Yes_



No

No

Job

Job

Rank

Rank

Primary Contact

Home Phone

Work Phone

Cell Phone

Primary Contact|

Home Phone

Work Phone

Cell Phone

Last Name






Preferred Doctor


Preferred Hospital

Cell Phone

Dr

Preferred Dentist

Phone Name

Other Doctor

Phone

Dr Phone Dr


Phone










San Angelo TX 76904



DISCIPLINE RECORDS












Parent Name

Signature Date


I I





Principal Date





SanAngeloTX 76906 3256533200







Signature Date


Physical Address

City State Zip

Phone Number Fax




SanAngeloTX 76906 3256533200











Date




Student Name Grade

ParentGuardian Name




Allergies Yes or No


List FoodAllergy






Signature Date





2013-2014

Dear Parents










Date



San Angelo TX 76906 3256533200



Student Name Grade











OVER

























Dear Parents







Date



San Angelo TX 76906 3256533200


Student Name Grade







Students Name Date



Address Phone








San Angelo TX 76906 3256533200



Dear Parents











Address Phone








San Angelo TX 76906 3256533200


2013-2014

Student Name Grade





Date




San Angelo TX 76906 3256533200







SanAngeloTX 76906 325-653-3200

UNIFORM AGREEMENT









San Angelo TX 76906 3256533200


STUDENT




PARENT OR GUARDIAN




SPONSORING TEACHER








areas



guidelines






Parenting Classes






administration)














Date Date



San Angelo TX 76906 3256533200


















Teacher signature

Principal signature









Student Signature









For all students





higher education




Date (monthdayyear)


TLCA


Dear Parents









the form below


TLC Academy

Childs Name(s)



Email Cell Phone


Other


Email Cell Phone


Other


APPENDIX F


















F2







For Students


For Staff


F3























F4






















White



F5























F6



Dear ParentGuardian



































Sincerely


Page 1






















- migrant or

- runaway





court 5




Page 2






1 bull 2 bull EDG



5 o

6 0 bull Homeless

7 bull bull Migrant

8 bull bull Runaway




Pensions Retirement






Date


Citv State Zip Code















Page 1










Pensions Retirement



9 $ $ $ $ bull


16 $ $ $ $ bull

17 $ $ $ $ bull

18 $ $ $ $ bull

19 $ $ $ $ bull

20 $ $ $ $ bull


Page 2






1 bull EDG



6 bull bull Migrant

7 0 bull Runaway








Date


City State Zip Code




Programs













Page 1












19 $ $ $ $ bull 20 $ S $ $ bull


Page 2






































Documentation












o00







Td en los alios

ultimos 5 ailos




(MMR)














Exenciones





salud publica









la dosis requerida

Doeumentacion



septiembre de 1991






FR

June 30 2014



Dear Mr Meza
















Sincerely

D JUL 2014


Ch J0lsMWrs



Agreed-end Accepted

V-7












(bull Yes

r No




Page 12


Admission Polk



0415


NOT APPLICABLE







fJJOOZ


Page 13


Admission Policy




Not applicable






f2J002


Page 13


Admission Policy


(bullYes

C No




Submit







Page 14

Section VI




RAYMOND MEZA


Page 15

Section VII










Page 16






NA




Page 17

Section VIII




(bull Yes

CNo




(bull Yes

PNo



(bull Yes

CNo



RAYMOND MEZA


Page 18

Section IX




RAYMOND MEZA



Page 19

Section X






3i im




Page 20


1

Board Of Directors

ChancellorCEO

I



Business Clerk


Resources

Operations Manager



Not Applicable





approval
















Exclusions










Students Name



Current School


City State Zip

















I San Angelo TX 76906 3256533200

X8 XiV




















Office 3256533200








YesNo







White








Current

Previous

Previous




Yes No Other



Both Parents Father

Other Mother


FatherGuardian




MotherGuardian




Father Yes

Mother Yes_



No

No

Job

Job

Rank

Rank

Primary Contact

Home Phone

Work Phone

Cell Phone

Primary Contact|

Home Phone

Work Phone

Cell Phone

Last Name






Preferred Doctor


Preferred Hospital

Cell Phone

Dr

Preferred Dentist

Phone Name

Other Doctor

Phone

Dr Phone Dr


Phone










San Angelo TX 76904



DISCIPLINE RECORDS












Parent Name

Signature Date


I I





Principal Date





SanAngeloTX 76906 3256533200







Signature Date


Physical Address

City State Zip

Phone Number Fax




SanAngeloTX 76906 3256533200











Date




Student Name Grade

ParentGuardian Name




Allergies Yes or No


List FoodAllergy






Signature Date





2013-2014

Dear Parents










Date



San Angelo TX 76906 3256533200



Student Name Grade











OVER

























Dear Parents







Date



San Angelo TX 76906 3256533200


Student Name Grade







Students Name Date



Address Phone








San Angelo TX 76906 3256533200



Dear Parents











Address Phone








San Angelo TX 76906 3256533200


2013-2014

Student Name Grade





Date




San Angelo TX 76906 3256533200







SanAngeloTX 76906 325-653-3200

UNIFORM AGREEMENT









San Angelo TX 76906 3256533200


STUDENT




PARENT OR GUARDIAN




SPONSORING TEACHER








areas



guidelines






Parenting Classes






administration)














Date Date



San Angelo TX 76906 3256533200


















Teacher signature

Principal signature









Student Signature









For all students





higher education




Date (monthdayyear)


TLCA


Dear Parents









the form below


TLC Academy

Childs Name(s)



Email Cell Phone


Other


Email Cell Phone


Other


APPENDIX F


















F2







For Students


For Staff


F3























F4






















White



F5























F6



Dear ParentGuardian



































Sincerely


Page 1






















- migrant or

- runaway





court 5




Page 2






1 bull 2 bull EDG



5 o

6 0 bull Homeless

7 bull bull Migrant

8 bull bull Runaway




Pensions Retirement






Date


Citv State Zip Code















Page 1










Pensions Retirement



9 $ $ $ $ bull


16 $ $ $ $ bull

17 $ $ $ $ bull

18 $ $ $ $ bull

19 $ $ $ $ bull

20 $ $ $ $ bull


Page 2






1 bull EDG



6 bull bull Migrant

7 0 bull Runaway








Date


City State Zip Code




Programs













Page 1












19 $ $ $ $ bull 20 $ S $ $ bull


Page 2






































Documentation












o00







Td en los alios

ultimos 5 ailos




(MMR)














Exenciones





salud publica









la dosis requerida

Doeumentacion



septiembre de 1991






FR

June 30 2014



Dear Mr Meza
















Sincerely

D JUL 2014


Ch J0lsMWrs



Agreed-end Accepted

V-7




Admission Polk



0415


NOT APPLICABLE







fJJOOZ


Page 13


Admission Policy




Not applicable






f2J002


Page 13


Admission Policy


(bullYes

C No




Submit







Page 14

Section VI




RAYMOND MEZA


Page 15

Section VII










Page 16






NA




Page 17

Section VIII




(bull Yes

CNo




(bull Yes

PNo



(bull Yes

CNo



RAYMOND MEZA


Page 18

Section IX




RAYMOND MEZA



Page 19

Section X






3i im




Page 20


1

Board Of Directors

ChancellorCEO

I



Business Clerk


Resources

Operations Manager



Not Applicable





approval
















Exclusions










Students Name



Current School


City State Zip

















I San Angelo TX 76906 3256533200

X8 XiV




















Office 3256533200








YesNo







White








Current

Previous

Previous




Yes No Other



Both Parents Father

Other Mother


FatherGuardian




MotherGuardian




Father Yes

Mother Yes_



No

No

Job

Job

Rank

Rank

Primary Contact

Home Phone

Work Phone

Cell Phone

Primary Contact|

Home Phone

Work Phone

Cell Phone

Last Name






Preferred Doctor


Preferred Hospital

Cell Phone

Dr

Preferred Dentist

Phone Name

Other Doctor

Phone

Dr Phone Dr


Phone










San Angelo TX 76904



DISCIPLINE RECORDS












Parent Name

Signature Date


I I





Principal Date





SanAngeloTX 76906 3256533200







Signature Date


Physical Address

City State Zip

Phone Number Fax




SanAngeloTX 76906 3256533200











Date




Student Name Grade

ParentGuardian Name




Allergies Yes or No


List FoodAllergy






Signature Date





2013-2014

Dear Parents










Date



San Angelo TX 76906 3256533200



Student Name Grade











OVER

























Dear Parents







Date



San Angelo TX 76906 3256533200


Student Name Grade







Students Name Date



Address Phone








San Angelo TX 76906 3256533200



Dear Parents











Address Phone








San Angelo TX 76906 3256533200


2013-2014

Student Name Grade





Date




San Angelo TX 76906 3256533200







SanAngeloTX 76906 325-653-3200

UNIFORM AGREEMENT









San Angelo TX 76906 3256533200


STUDENT




PARENT OR GUARDIAN




SPONSORING TEACHER








areas



guidelines






Parenting Classes






administration)














Date Date



San Angelo TX 76906 3256533200


















Teacher signature

Principal signature









Student Signature









For all students





higher education




Date (monthdayyear)


TLCA


Dear Parents









the form below


TLC Academy

Childs Name(s)



Email Cell Phone


Other


Email Cell Phone


Other


APPENDIX F


















F2







For Students


For Staff


F3























F4






















White



F5























F6



Dear ParentGuardian



































Sincerely


Page 1






















- migrant or

- runaway





court 5




Page 2






1 bull 2 bull EDG



5 o

6 0 bull Homeless

7 bull bull Migrant

8 bull bull Runaway




Pensions Retirement






Date


Citv State Zip Code















Page 1










Pensions Retirement



9 $ $ $ $ bull


16 $ $ $ $ bull

17 $ $ $ $ bull

18 $ $ $ $ bull

19 $ $ $ $ bull

20 $ $ $ $ bull


Page 2






1 bull EDG



6 bull bull Migrant

7 0 bull Runaway








Date


City State Zip Code




Programs













Page 1












19 $ $ $ $ bull 20 $ S $ $ bull


Page 2






































Documentation












o00







Td en los alios

ultimos 5 ailos




(MMR)














Exenciones





salud publica









la dosis requerida

Doeumentacion



septiembre de 1991






FR

June 30 2014



Dear Mr Meza
















Sincerely

D JUL 2014


Ch J0lsMWrs



Agreed-end Accepted

V-7




Admission Policy




Not applicable






f2J002


Page 13


Admission Policy


(bullYes

C No




Submit







Page 14

Section VI




RAYMOND MEZA


Page 15

Section VII










Page 16






NA




Page 17

Section VIII




(bull Yes

CNo




(bull Yes

PNo



(bull Yes

CNo



RAYMOND MEZA


Page 18

Section IX




RAYMOND MEZA



Page 19

Section X






3i im




Page 20


1

Board Of Directors

ChancellorCEO

I



Business Clerk


Resources

Operations Manager



Not Applicable





approval
















Exclusions










Students Name



Current School


City State Zip

















I San Angelo TX 76906 3256533200

X8 XiV




















Office 3256533200








YesNo







White








Current

Previous

Previous




Yes No Other



Both Parents Father

Other Mother


FatherGuardian




MotherGuardian




Father Yes

Mother Yes_



No

No

Job

Job

Rank

Rank

Primary Contact

Home Phone

Work Phone

Cell Phone

Primary Contact|

Home Phone

Work Phone

Cell Phone

Last Name






Preferred Doctor


Preferred Hospital

Cell Phone

Dr

Preferred Dentist

Phone Name

Other Doctor

Phone

Dr Phone Dr


Phone










San Angelo TX 76904



DISCIPLINE RECORDS












Parent Name

Signature Date


I I





Principal Date





SanAngeloTX 76906 3256533200







Signature Date


Physical Address

City State Zip

Phone Number Fax




SanAngeloTX 76906 3256533200











Date




Student Name Grade

ParentGuardian Name




Allergies Yes or No


List FoodAllergy






Signature Date





2013-2014

Dear Parents










Date



San Angelo TX 76906 3256533200



Student Name Grade











OVER

























Dear Parents







Date



San Angelo TX 76906 3256533200


Student Name Grade







Students Name Date



Address Phone








San Angelo TX 76906 3256533200



Dear Parents











Address Phone








San Angelo TX 76906 3256533200


2013-2014

Student Name Grade





Date




San Angelo TX 76906 3256533200







SanAngeloTX 76906 325-653-3200

UNIFORM AGREEMENT









San Angelo TX 76906 3256533200


STUDENT




PARENT OR GUARDIAN




SPONSORING TEACHER








areas



guidelines






Parenting Classes






administration)














Date Date



San Angelo TX 76906 3256533200


















Teacher signature

Principal signature









Student Signature









For all students





higher education




Date (monthdayyear)


TLCA


Dear Parents









the form below


TLC Academy

Childs Name(s)



Email Cell Phone


Other


Email Cell Phone


Other


APPENDIX F


















F2







For Students


For Staff


F3























F4






















White



F5























F6



Dear ParentGuardian



































Sincerely


Page 1






















- migrant or

- runaway





court 5




Page 2






1 bull 2 bull EDG



5 o

6 0 bull Homeless

7 bull bull Migrant

8 bull bull Runaway




Pensions Retirement






Date


Citv State Zip Code















Page 1










Pensions Retirement



9 $ $ $ $ bull


16 $ $ $ $ bull

17 $ $ $ $ bull

18 $ $ $ $ bull

19 $ $ $ $ bull

20 $ $ $ $ bull


Page 2






1 bull EDG



6 bull bull Migrant

7 0 bull Runaway








Date


City State Zip Code




Programs













Page 1












19 $ $ $ $ bull 20 $ S $ $ bull


Page 2






































Documentation












o00







Td en los alios

ultimos 5 ailos




(MMR)














Exenciones





salud publica









la dosis requerida

Doeumentacion



septiembre de 1991






FR

June 30 2014



Dear Mr Meza
















Sincerely

D JUL 2014


Ch J0lsMWrs



Agreed-end Accepted

V-7




Admission Policy


(bullYes

C No




Submit







Page 14

Section VI




RAYMOND MEZA


Page 15

Section VII










Page 16






NA




Page 17

Section VIII




(bull Yes

CNo




(bull Yes

PNo



(bull Yes

CNo



RAYMOND MEZA


Page 18

Section IX




RAYMOND MEZA



Page 19

Section X






3i im




Page 20


1

Board Of Directors

ChancellorCEO

I



Business Clerk


Resources

Operations Manager



Not Applicable





approval
















Exclusions










Students Name



Current School


City State Zip

















I San Angelo TX 76906 3256533200

X8 XiV




















Office 3256533200








YesNo







White








Current

Previous

Previous




Yes No Other



Both Parents Father

Other Mother


FatherGuardian




MotherGuardian




Father Yes

Mother Yes_



No

No

Job

Job

Rank

Rank

Primary Contact

Home Phone

Work Phone

Cell Phone

Primary Contact|

Home Phone

Work Phone

Cell Phone

Last Name






Preferred Doctor


Preferred Hospital

Cell Phone

Dr

Preferred Dentist

Phone Name

Other Doctor

Phone

Dr Phone Dr


Phone










San Angelo TX 76904



DISCIPLINE RECORDS












Parent Name

Signature Date


I I





Principal Date





SanAngeloTX 76906 3256533200







Signature Date


Physical Address

City State Zip

Phone Number Fax




SanAngeloTX 76906 3256533200











Date




Student Name Grade

ParentGuardian Name




Allergies Yes or No


List FoodAllergy






Signature Date





2013-2014

Dear Parents










Date



San Angelo TX 76906 3256533200



Student Name Grade











OVER

























Dear Parents







Date



San Angelo TX 76906 3256533200


Student Name Grade







Students Name Date



Address Phone








San Angelo TX 76906 3256533200



Dear Parents











Address Phone








San Angelo TX 76906 3256533200


2013-2014

Student Name Grade





Date




San Angelo TX 76906 3256533200







SanAngeloTX 76906 325-653-3200

UNIFORM AGREEMENT









San Angelo TX 76906 3256533200


STUDENT




PARENT OR GUARDIAN




SPONSORING TEACHER








areas



guidelines






Parenting Classes






administration)














Date Date



San Angelo TX 76906 3256533200


















Teacher signature

Principal signature









Student Signature









For all students





higher education




Date (monthdayyear)


TLCA


Dear Parents









the form below


TLC Academy

Childs Name(s)



Email Cell Phone


Other


Email Cell Phone


Other


APPENDIX F


















F2







For Students


For Staff


F3























F4






















White



F5























F6



Dear ParentGuardian



































Sincerely


Page 1






















- migrant or

- runaway





court 5




Page 2






1 bull 2 bull EDG



5 o

6 0 bull Homeless

7 bull bull Migrant

8 bull bull Runaway




Pensions Retirement






Date


Citv State Zip Code















Page 1










Pensions Retirement



9 $ $ $ $ bull


16 $ $ $ $ bull

17 $ $ $ $ bull

18 $ $ $ $ bull

19 $ $ $ $ bull

20 $ $ $ $ bull


Page 2






1 bull EDG



6 bull bull Migrant

7 0 bull Runaway








Date


City State Zip Code




Programs













Page 1












19 $ $ $ $ bull 20 $ S $ $ bull


Page 2






































Documentation












o00







Td en los alios

ultimos 5 ailos




(MMR)














Exenciones





salud publica









la dosis requerida

Doeumentacion



septiembre de 1991






FR

June 30 2014



Dear Mr Meza
















Sincerely

D JUL 2014


Ch J0lsMWrs



Agreed-end Accepted

V-7



Section VI




RAYMOND MEZA


Page 15

Section VII










Page 16






NA




Page 17

Section VIII




(bull Yes

CNo




(bull Yes

PNo



(bull Yes

CNo



RAYMOND MEZA


Page 18

Section IX




RAYMOND MEZA



Page 19

Section X






3i im




Page 20


1

Board Of Directors

ChancellorCEO

I



Business Clerk


Resources

Operations Manager



Not Applicable





approval
















Exclusions










Students Name



Current School


City State Zip

















I San Angelo TX 76906 3256533200

X8 XiV




















Office 3256533200








YesNo







White








Current

Previous

Previous




Yes No Other



Both Parents Father

Other Mother


FatherGuardian




MotherGuardian




Father Yes

Mother Yes_



No

No

Job

Job

Rank

Rank

Primary Contact

Home Phone

Work Phone

Cell Phone

Primary Contact|

Home Phone

Work Phone

Cell Phone

Last Name






Preferred Doctor


Preferred Hospital

Cell Phone

Dr

Preferred Dentist

Phone Name

Other Doctor

Phone

Dr Phone Dr


Phone










San Angelo TX 76904



DISCIPLINE RECORDS












Parent Name

Signature Date


I I





Principal Date





SanAngeloTX 76906 3256533200







Signature Date


Physical Address

City State Zip

Phone Number Fax




SanAngeloTX 76906 3256533200











Date




Student Name Grade

ParentGuardian Name




Allergies Yes or No


List FoodAllergy






Signature Date





2013-2014

Dear Parents










Date



San Angelo TX 76906 3256533200



Student Name Grade











OVER

























Dear Parents







Date



San Angelo TX 76906 3256533200


Student Name Grade







Students Name Date



Address Phone








San Angelo TX 76906 3256533200



Dear Parents











Address Phone








San Angelo TX 76906 3256533200


2013-2014

Student Name Grade





Date




San Angelo TX 76906 3256533200







SanAngeloTX 76906 325-653-3200

UNIFORM AGREEMENT









San Angelo TX 76906 3256533200


STUDENT




PARENT OR GUARDIAN




SPONSORING TEACHER








areas



guidelines






Parenting Classes






administration)














Date Date



San Angelo TX 76906 3256533200


















Teacher signature

Principal signature









Student Signature









For all students





higher education




Date (monthdayyear)


TLCA


Dear Parents









the form below


TLC Academy

Childs Name(s)



Email Cell Phone


Other


Email Cell Phone


Other


APPENDIX F


















F2







For Students


For Staff


F3























F4






















White



F5























F6



Dear ParentGuardian



































Sincerely


Page 1






















- migrant or

- runaway





court 5




Page 2






1 bull 2 bull EDG



5 o

6 0 bull Homeless

7 bull bull Migrant

8 bull bull Runaway




Pensions Retirement






Date


Citv State Zip Code















Page 1










Pensions Retirement



9 $ $ $ $ bull


16 $ $ $ $ bull

17 $ $ $ $ bull

18 $ $ $ $ bull

19 $ $ $ $ bull

20 $ $ $ $ bull


Page 2






1 bull EDG



6 bull bull Migrant

7 0 bull Runaway








Date


City State Zip Code




Programs













Page 1












19 $ $ $ $ bull 20 $ S $ $ bull


Page 2






































Documentation












o00







Td en los alios

ultimos 5 ailos




(MMR)














Exenciones





salud publica









la dosis requerida

Doeumentacion



septiembre de 1991






FR

June 30 2014



Dear Mr Meza
















Sincerely

D JUL 2014


Ch J0lsMWrs



Agreed-end Accepted

V-7



Section VII










Page 16






NA




Page 17

Section VIII




(bull Yes

CNo




(bull Yes

PNo



(bull Yes

CNo



RAYMOND MEZA


Page 18

Section IX




RAYMOND MEZA



Page 19

Section X






3i im




Page 20


1

Board Of Directors

ChancellorCEO

I



Business Clerk


Resources

Operations Manager



Not Applicable





approval
















Exclusions










Students Name



Current School


City State Zip

















I San Angelo TX 76906 3256533200

X8 XiV




















Office 3256533200








YesNo







White








Current

Previous

Previous




Yes No Other



Both Parents Father

Other Mother


FatherGuardian




MotherGuardian




Father Yes

Mother Yes_



No

No

Job

Job

Rank

Rank

Primary Contact

Home Phone

Work Phone

Cell Phone

Primary Contact|

Home Phone

Work Phone

Cell Phone

Last Name






Preferred Doctor


Preferred Hospital

Cell Phone

Dr

Preferred Dentist

Phone Name

Other Doctor

Phone

Dr Phone Dr


Phone










San Angelo TX 76904



DISCIPLINE RECORDS












Parent Name

Signature Date


I I





Principal Date





SanAngeloTX 76906 3256533200







Signature Date


Physical Address

City State Zip

Phone Number Fax




SanAngeloTX 76906 3256533200











Date




Student Name Grade

ParentGuardian Name




Allergies Yes or No


List FoodAllergy






Signature Date





2013-2014

Dear Parents










Date



San Angelo TX 76906 3256533200



Student Name Grade











OVER

























Dear Parents







Date



San Angelo TX 76906 3256533200


Student Name Grade







Students Name Date



Address Phone








San Angelo TX 76906 3256533200



Dear Parents











Address Phone








San Angelo TX 76906 3256533200


2013-2014

Student Name Grade





Date




San Angelo TX 76906 3256533200







SanAngeloTX 76906 325-653-3200

UNIFORM AGREEMENT









San Angelo TX 76906 3256533200


STUDENT




PARENT OR GUARDIAN




SPONSORING TEACHER








areas



guidelines






Parenting Classes






administration)














Date Date



San Angelo TX 76906 3256533200


















Teacher signature

Principal signature









Student Signature









For all students





higher education




Date (monthdayyear)


TLCA


Dear Parents









the form below


TLC Academy

Childs Name(s)



Email Cell Phone


Other


Email Cell Phone


Other


APPENDIX F


















F2







For Students


For Staff


F3























F4






















White



F5























F6



Dear ParentGuardian



































Sincerely


Page 1






















- migrant or

- runaway





court 5




Page 2






1 bull 2 bull EDG



5 o

6 0 bull Homeless

7 bull bull Migrant

8 bull bull Runaway




Pensions Retirement






Date


Citv State Zip Code















Page 1










Pensions Retirement



9 $ $ $ $ bull


16 $ $ $ $ bull

17 $ $ $ $ bull

18 $ $ $ $ bull

19 $ $ $ $ bull

20 $ $ $ $ bull


Page 2






1 bull EDG



6 bull bull Migrant

7 0 bull Runaway








Date


City State Zip Code




Programs













Page 1












19 $ $ $ $ bull 20 $ S $ $ bull


Page 2






































Documentation












o00







Td en los alios

ultimos 5 ailos




(MMR)














Exenciones





salud publica









la dosis requerida

Doeumentacion



septiembre de 1991






FR

June 30 2014



Dear Mr Meza
















Sincerely

D JUL 2014


Ch J0lsMWrs



Agreed-end Accepted

V-7








NA




Page 17

Section VIII




(bull Yes

CNo




(bull Yes

PNo



(bull Yes

CNo



RAYMOND MEZA


Page 18

Section IX




RAYMOND MEZA



Page 19

Section X






3i im




Page 20


1

Board Of Directors

ChancellorCEO

I



Business Clerk


Resources

Operations Manager



Not Applicable





approval
















Exclusions










Students Name



Current School


City State Zip

















I San Angelo TX 76906 3256533200

X8 XiV




















Office 3256533200








YesNo







White








Current

Previous

Previous




Yes No Other



Both Parents Father

Other Mother


FatherGuardian




MotherGuardian




Father Yes

Mother Yes_



No

No

Job

Job

Rank

Rank

Primary Contact

Home Phone

Work Phone

Cell Phone

Primary Contact|

Home Phone

Work Phone

Cell Phone

Last Name






Preferred Doctor


Preferred Hospital

Cell Phone

Dr

Preferred Dentist

Phone Name

Other Doctor

Phone

Dr Phone Dr


Phone










San Angelo TX 76904



DISCIPLINE RECORDS












Parent Name

Signature Date


I I





Principal Date





SanAngeloTX 76906 3256533200







Signature Date


Physical Address

City State Zip

Phone Number Fax




SanAngeloTX 76906 3256533200











Date




Student Name Grade

ParentGuardian Name




Allergies Yes or No


List FoodAllergy






Signature Date





2013-2014

Dear Parents










Date



San Angelo TX 76906 3256533200



Student Name Grade











OVER

























Dear Parents







Date



San Angelo TX 76906 3256533200


Student Name Grade







Students Name Date



Address Phone








San Angelo TX 76906 3256533200



Dear Parents











Address Phone








San Angelo TX 76906 3256533200


2013-2014

Student Name Grade





Date




San Angelo TX 76906 3256533200







SanAngeloTX 76906 325-653-3200

UNIFORM AGREEMENT









San Angelo TX 76906 3256533200


STUDENT




PARENT OR GUARDIAN




SPONSORING TEACHER








areas



guidelines






Parenting Classes






administration)














Date Date



San Angelo TX 76906 3256533200


















Teacher signature

Principal signature









Student Signature









For all students





higher education




Date (monthdayyear)


TLCA


Dear Parents









the form below


TLC Academy

Childs Name(s)



Email Cell Phone


Other


Email Cell Phone


Other


APPENDIX F


















F2







For Students


For Staff


F3























F4






















White



F5























F6



Dear ParentGuardian



































Sincerely


Page 1






















- migrant or

- runaway





court 5




Page 2






1 bull 2 bull EDG



5 o

6 0 bull Homeless

7 bull bull Migrant

8 bull bull Runaway




Pensions Retirement






Date


Citv State Zip Code















Page 1










Pensions Retirement



9 $ $ $ $ bull


16 $ $ $ $ bull

17 $ $ $ $ bull

18 $ $ $ $ bull

19 $ $ $ $ bull

20 $ $ $ $ bull


Page 2






1 bull EDG



6 bull bull Migrant

7 0 bull Runaway








Date


City State Zip Code




Programs













Page 1












19 $ $ $ $ bull 20 $ S $ $ bull


Page 2






































Documentation












o00







Td en los alios

ultimos 5 ailos




(MMR)














Exenciones





salud publica









la dosis requerida

Doeumentacion



septiembre de 1991






FR

June 30 2014



Dear Mr Meza
















Sincerely

D JUL 2014


Ch J0lsMWrs



Agreed-end Accepted

V-7



Section VIII




(bull Yes

CNo




(bull Yes

PNo



(bull Yes

CNo



RAYMOND MEZA


Page 18

Section IX




RAYMOND MEZA



Page 19

Section X






3i im




Page 20


1

Board Of Directors

ChancellorCEO

I



Business Clerk


Resources

Operations Manager



Not Applicable





approval
















Exclusions










Students Name



Current School


City State Zip

















I San Angelo TX 76906 3256533200

X8 XiV




















Office 3256533200








YesNo







White








Current

Previous

Previous




Yes No Other



Both Parents Father

Other Mother


FatherGuardian




MotherGuardian




Father Yes

Mother Yes_



No

No

Job

Job

Rank

Rank

Primary Contact

Home Phone

Work Phone

Cell Phone

Primary Contact|

Home Phone

Work Phone

Cell Phone

Last Name






Preferred Doctor


Preferred Hospital

Cell Phone

Dr

Preferred Dentist

Phone Name

Other Doctor

Phone

Dr Phone Dr


Phone










San Angelo TX 76904



DISCIPLINE RECORDS












Parent Name

Signature Date


I I





Principal Date





SanAngeloTX 76906 3256533200







Signature Date


Physical Address

City State Zip

Phone Number Fax




SanAngeloTX 76906 3256533200











Date




Student Name Grade

ParentGuardian Name




Allergies Yes or No


List FoodAllergy






Signature Date





2013-2014

Dear Parents










Date



San Angelo TX 76906 3256533200



Student Name Grade











OVER

























Dear Parents







Date



San Angelo TX 76906 3256533200


Student Name Grade







Students Name Date



Address Phone








San Angelo TX 76906 3256533200



Dear Parents











Address Phone








San Angelo TX 76906 3256533200


2013-2014

Student Name Grade





Date




San Angelo TX 76906 3256533200







SanAngeloTX 76906 325-653-3200

UNIFORM AGREEMENT









San Angelo TX 76906 3256533200


STUDENT




PARENT OR GUARDIAN




SPONSORING TEACHER








areas



guidelines






Parenting Classes






administration)














Date Date



San Angelo TX 76906 3256533200


















Teacher signature

Principal signature









Student Signature









For all students





higher education




Date (monthdayyear)


TLCA


Dear Parents









the form below


TLC Academy

Childs Name(s)



Email Cell Phone


Other


Email Cell Phone


Other


APPENDIX F


















F2







For Students


For Staff


F3























F4






















White



F5























F6



Dear ParentGuardian



































Sincerely


Page 1






















- migrant or

- runaway





court 5




Page 2






1 bull 2 bull EDG



5 o

6 0 bull Homeless

7 bull bull Migrant

8 bull bull Runaway




Pensions Retirement






Date


Citv State Zip Code















Page 1










Pensions Retirement



9 $ $ $ $ bull


16 $ $ $ $ bull

17 $ $ $ $ bull

18 $ $ $ $ bull

19 $ $ $ $ bull

20 $ $ $ $ bull


Page 2






1 bull EDG



6 bull bull Migrant

7 0 bull Runaway








Date


City State Zip Code




Programs













Page 1












19 $ $ $ $ bull 20 $ S $ $ bull


Page 2






































Documentation












o00







Td en los alios

ultimos 5 ailos




(MMR)














Exenciones





salud publica









la dosis requerida

Doeumentacion



septiembre de 1991






FR

June 30 2014



Dear Mr Meza
















Sincerely

D JUL 2014


Ch J0lsMWrs



Agreed-end Accepted

V-7



Section IX




RAYMOND MEZA



Page 19

Section X






3i im




Page 20


1

Board Of Directors

ChancellorCEO

I



Business Clerk


Resources

Operations Manager



Not Applicable





approval
















Exclusions










Students Name



Current School


City State Zip

















I San Angelo TX 76906 3256533200

X8 XiV




















Office 3256533200








YesNo







White








Current

Previous

Previous




Yes No Other



Both Parents Father

Other Mother


FatherGuardian




MotherGuardian




Father Yes

Mother Yes_



No

No

Job

Job

Rank

Rank

Primary Contact

Home Phone

Work Phone

Cell Phone

Primary Contact|

Home Phone

Work Phone

Cell Phone

Last Name






Preferred Doctor


Preferred Hospital

Cell Phone

Dr

Preferred Dentist

Phone Name

Other Doctor

Phone

Dr Phone Dr


Phone










San Angelo TX 76904



DISCIPLINE RECORDS












Parent Name

Signature Date


I I





Principal Date





SanAngeloTX 76906 3256533200







Signature Date


Physical Address

City State Zip

Phone Number Fax




SanAngeloTX 76906 3256533200











Date




Student Name Grade

ParentGuardian Name




Allergies Yes or No


List FoodAllergy






Signature Date





2013-2014

Dear Parents










Date



San Angelo TX 76906 3256533200



Student Name Grade











OVER

























Dear Parents







Date



San Angelo TX 76906 3256533200


Student Name Grade







Students Name Date



Address Phone








San Angelo TX 76906 3256533200



Dear Parents











Address Phone








San Angelo TX 76906 3256533200


2013-2014

Student Name Grade





Date




San Angelo TX 76906 3256533200







SanAngeloTX 76906 325-653-3200

UNIFORM AGREEMENT









San Angelo TX 76906 3256533200


STUDENT




PARENT OR GUARDIAN




SPONSORING TEACHER








areas



guidelines






Parenting Classes






administration)














Date Date



San Angelo TX 76906 3256533200


















Teacher signature

Principal signature









Student Signature









For all students





higher education




Date (monthdayyear)


TLCA


Dear Parents









the form below


TLC Academy

Childs Name(s)



Email Cell Phone


Other


Email Cell Phone


Other


APPENDIX F


















F2







For Students


For Staff


F3























F4






















White



F5























F6



Dear ParentGuardian



































Sincerely


Page 1






















- migrant or

- runaway





court 5




Page 2






1 bull 2 bull EDG



5 o

6 0 bull Homeless

7 bull bull Migrant

8 bull bull Runaway




Pensions Retirement






Date


Citv State Zip Code















Page 1










Pensions Retirement



9 $ $ $ $ bull


16 $ $ $ $ bull

17 $ $ $ $ bull

18 $ $ $ $ bull

19 $ $ $ $ bull

20 $ $ $ $ bull


Page 2






1 bull EDG



6 bull bull Migrant

7 0 bull Runaway








Date


City State Zip Code




Programs













Page 1












19 $ $ $ $ bull 20 $ S $ $ bull


Page 2






































Documentation












o00







Td en los alios

ultimos 5 ailos




(MMR)














Exenciones





salud publica









la dosis requerida

Doeumentacion



septiembre de 1991






FR

June 30 2014



Dear Mr Meza
















Sincerely

D JUL 2014


Ch J0lsMWrs



Agreed-end Accepted

V-7



Section X






3i im




Page 20


1

Board Of Directors

ChancellorCEO

I



Business Clerk


Resources

Operations Manager



Not Applicable





approval
















Exclusions










Students Name



Current School


City State Zip

















I San Angelo TX 76906 3256533200

X8 XiV




















Office 3256533200








YesNo







White








Current

Previous

Previous




Yes No Other



Both Parents Father

Other Mother


FatherGuardian




MotherGuardian




Father Yes

Mother Yes_



No

No

Job

Job

Rank

Rank

Primary Contact

Home Phone

Work Phone

Cell Phone

Primary Contact|

Home Phone

Work Phone

Cell Phone

Last Name






Preferred Doctor


Preferred Hospital

Cell Phone

Dr

Preferred Dentist

Phone Name

Other Doctor

Phone

Dr Phone Dr


Phone










San Angelo TX 76904



DISCIPLINE RECORDS












Parent Name

Signature Date


I I





Principal Date





SanAngeloTX 76906 3256533200







Signature Date


Physical Address

City State Zip

Phone Number Fax




SanAngeloTX 76906 3256533200











Date




Student Name Grade

ParentGuardian Name




Allergies Yes or No


List FoodAllergy






Signature Date





2013-2014

Dear Parents










Date



San Angelo TX 76906 3256533200



Student Name Grade











OVER

























Dear Parents







Date



San Angelo TX 76906 3256533200


Student Name Grade







Students Name Date



Address Phone








San Angelo TX 76906 3256533200



Dear Parents











Address Phone








San Angelo TX 76906 3256533200


2013-2014

Student Name Grade





Date




San Angelo TX 76906 3256533200







SanAngeloTX 76906 325-653-3200

UNIFORM AGREEMENT









San Angelo TX 76906 3256533200


STUDENT




PARENT OR GUARDIAN




SPONSORING TEACHER








areas



guidelines






Parenting Classes






administration)














Date Date



San Angelo TX 76906 3256533200


















Teacher signature

Principal signature









Student Signature









For all students





higher education




Date (monthdayyear)


TLCA


Dear Parents









the form below


TLC Academy

Childs Name(s)



Email Cell Phone


Other


Email Cell Phone


Other


APPENDIX F


















F2







For Students


For Staff


F3























F4






















White



F5























F6



Dear ParentGuardian



































Sincerely


Page 1






















- migrant or

- runaway





court 5




Page 2






1 bull 2 bull EDG



5 o

6 0 bull Homeless

7 bull bull Migrant

8 bull bull Runaway




Pensions Retirement






Date


Citv State Zip Code















Page 1










Pensions Retirement



9 $ $ $ $ bull


16 $ $ $ $ bull

17 $ $ $ $ bull

18 $ $ $ $ bull

19 $ $ $ $ bull

20 $ $ $ $ bull


Page 2






1 bull EDG



6 bull bull Migrant

7 0 bull Runaway








Date


City State Zip Code




Programs













Page 1












19 $ $ $ $ bull 20 $ S $ $ bull


Page 2






































Documentation












o00







Td en los alios

ultimos 5 ailos




(MMR)














Exenciones





salud publica









la dosis requerida

Doeumentacion



septiembre de 1991






FR

June 30 2014



Dear Mr Meza
















Sincerely

D JUL 2014


Ch J0lsMWrs



Agreed-end Accepted

V-7




1

Board Of Directors

ChancellorCEO

I



Business Clerk


Resources

Operations Manager



Not Applicable





approval
















Exclusions










Students Name



Current School


City State Zip

















I San Angelo TX 76906 3256533200

X8 XiV




















Office 3256533200








YesNo







White








Current

Previous

Previous




Yes No Other



Both Parents Father

Other Mother


FatherGuardian




MotherGuardian




Father Yes

Mother Yes_



No

No

Job

Job

Rank

Rank

Primary Contact

Home Phone

Work Phone

Cell Phone

Primary Contact|

Home Phone

Work Phone

Cell Phone

Last Name






Preferred Doctor


Preferred Hospital

Cell Phone

Dr

Preferred Dentist

Phone Name

Other Doctor

Phone

Dr Phone Dr


Phone










San Angelo TX 76904



DISCIPLINE RECORDS












Parent Name

Signature Date


I I





Principal Date





SanAngeloTX 76906 3256533200







Signature Date


Physical Address

City State Zip

Phone Number Fax




SanAngeloTX 76906 3256533200











Date




Student Name Grade

ParentGuardian Name




Allergies Yes or No


List FoodAllergy






Signature Date





2013-2014

Dear Parents










Date



San Angelo TX 76906 3256533200



Student Name Grade











OVER

























Dear Parents







Date



San Angelo TX 76906 3256533200


Student Name Grade







Students Name Date



Address Phone








San Angelo TX 76906 3256533200



Dear Parents











Address Phone








San Angelo TX 76906 3256533200


2013-2014

Student Name Grade





Date




San Angelo TX 76906 3256533200







SanAngeloTX 76906 325-653-3200

UNIFORM AGREEMENT









San Angelo TX 76906 3256533200


STUDENT




PARENT OR GUARDIAN




SPONSORING TEACHER








areas



guidelines






Parenting Classes






administration)














Date Date



San Angelo TX 76906 3256533200


















Teacher signature

Principal signature









Student Signature









For all students





higher education




Date (monthdayyear)


TLCA


Dear Parents









the form below


TLC Academy

Childs Name(s)



Email Cell Phone


Other


Email Cell Phone


Other


APPENDIX F


















F2







For Students


For Staff


F3























F4






















White



F5























F6



Dear ParentGuardian



































Sincerely


Page 1






















- migrant or

- runaway





court 5




Page 2






1 bull 2 bull EDG



5 o

6 0 bull Homeless

7 bull bull Migrant

8 bull bull Runaway




Pensions Retirement






Date


Citv State Zip Code















Page 1










Pensions Retirement



9 $ $ $ $ bull


16 $ $ $ $ bull

17 $ $ $ $ bull

18 $ $ $ $ bull

19 $ $ $ $ bull

20 $ $ $ $ bull


Page 2






1 bull EDG



6 bull bull Migrant

7 0 bull Runaway








Date


City State Zip Code




Programs













Page 1












19 $ $ $ $ bull 20 $ S $ $ bull


Page 2






































Documentation












o00







Td en los alios

ultimos 5 ailos




(MMR)














Exenciones





salud publica









la dosis requerida

Doeumentacion



septiembre de 1991






FR

June 30 2014



Dear Mr Meza
















Sincerely

D JUL 2014


Ch J0lsMWrs



Agreed-end Accepted

V-7




Not Applicable





approval
















Exclusions










Students Name



Current School


City State Zip

















I San Angelo TX 76906 3256533200

X8 XiV




















Office 3256533200








YesNo







White








Current

Previous

Previous




Yes No Other



Both Parents Father

Other Mother


FatherGuardian




MotherGuardian




Father Yes

Mother Yes_



No

No

Job

Job

Rank

Rank

Primary Contact

Home Phone

Work Phone

Cell Phone

Primary Contact|

Home Phone

Work Phone

Cell Phone

Last Name






Preferred Doctor


Preferred Hospital

Cell Phone

Dr

Preferred Dentist

Phone Name

Other Doctor

Phone

Dr Phone Dr


Phone










San Angelo TX 76904



DISCIPLINE RECORDS












Parent Name

Signature Date


I I





Principal Date





SanAngeloTX 76906 3256533200







Signature Date


Physical Address

City State Zip

Phone Number Fax




SanAngeloTX 76906 3256533200











Date




Student Name Grade

ParentGuardian Name




Allergies Yes or No


List FoodAllergy






Signature Date





2013-2014

Dear Parents










Date



San Angelo TX 76906 3256533200



Student Name Grade











OVER

























Dear Parents







Date



San Angelo TX 76906 3256533200


Student Name Grade







Students Name Date



Address Phone








San Angelo TX 76906 3256533200



Dear Parents











Address Phone








San Angelo TX 76906 3256533200


2013-2014

Student Name Grade





Date




San Angelo TX 76906 3256533200







SanAngeloTX 76906 325-653-3200

UNIFORM AGREEMENT









San Angelo TX 76906 3256533200


STUDENT




PARENT OR GUARDIAN




SPONSORING TEACHER








areas



guidelines






Parenting Classes






administration)














Date Date



San Angelo TX 76906 3256533200


















Teacher signature

Principal signature









Student Signature









For all students





higher education




Date (monthdayyear)


TLCA


Dear Parents









the form below


TLC Academy

Childs Name(s)



Email Cell Phone


Other


Email Cell Phone


Other


APPENDIX F


















F2







For Students


For Staff


F3























F4






















White



F5























F6



Dear ParentGuardian



































Sincerely


Page 1






















- migrant or

- runaway





court 5




Page 2






1 bull 2 bull EDG



5 o

6 0 bull Homeless

7 bull bull Migrant

8 bull bull Runaway




Pensions Retirement






Date


Citv State Zip Code















Page 1










Pensions Retirement



9 $ $ $ $ bull


16 $ $ $ $ bull

17 $ $ $ $ bull

18 $ $ $ $ bull

19 $ $ $ $ bull

20 $ $ $ $ bull


Page 2






1 bull EDG



6 bull bull Migrant

7 0 bull Runaway








Date


City State Zip Code




Programs













Page 1












19 $ $ $ $ bull 20 $ S $ $ bull


Page 2






































Documentation












o00







Td en los alios

ultimos 5 ailos




(MMR)














Exenciones





salud publica









la dosis requerida

Doeumentacion



septiembre de 1991






FR

June 30 2014



Dear Mr Meza
















Sincerely

D JUL 2014


Ch J0lsMWrs



Agreed-end Accepted

V-7







approval
















Exclusions










Students Name



Current School


City State Zip

















I San Angelo TX 76906 3256533200

X8 XiV




















Office 3256533200








YesNo







White








Current

Previous

Previous




Yes No Other



Both Parents Father

Other Mother


FatherGuardian




MotherGuardian




Father Yes

Mother Yes_



No

No

Job

Job

Rank

Rank

Primary Contact

Home Phone

Work Phone

Cell Phone

Primary Contact|

Home Phone

Work Phone

Cell Phone

Last Name






Preferred Doctor


Preferred Hospital

Cell Phone

Dr

Preferred Dentist

Phone Name

Other Doctor

Phone

Dr Phone Dr


Phone










San Angelo TX 76904



DISCIPLINE RECORDS












Parent Name

Signature Date


I I





Principal Date





SanAngeloTX 76906 3256533200







Signature Date


Physical Address

City State Zip

Phone Number Fax




SanAngeloTX 76906 3256533200











Date




Student Name Grade

ParentGuardian Name




Allergies Yes or No


List FoodAllergy






Signature Date





2013-2014

Dear Parents










Date



San Angelo TX 76906 3256533200



Student Name Grade











OVER

























Dear Parents







Date



San Angelo TX 76906 3256533200


Student Name Grade







Students Name Date



Address Phone








San Angelo TX 76906 3256533200



Dear Parents











Address Phone








San Angelo TX 76906 3256533200


2013-2014

Student Name Grade





Date




San Angelo TX 76906 3256533200







SanAngeloTX 76906 325-653-3200

UNIFORM AGREEMENT









San Angelo TX 76906 3256533200


STUDENT




PARENT OR GUARDIAN




SPONSORING TEACHER








areas



guidelines






Parenting Classes






administration)














Date Date



San Angelo TX 76906 3256533200


















Teacher signature

Principal signature









Student Signature









For all students





higher education




Date (monthdayyear)


TLCA


Dear Parents









the form below


TLC Academy

Childs Name(s)



Email Cell Phone


Other


Email Cell Phone


Other


APPENDIX F


















F2







For Students


For Staff


F3























F4






















White



F5























F6



Dear ParentGuardian



































Sincerely


Page 1






















- migrant or

- runaway





court 5




Page 2






1 bull 2 bull EDG



5 o

6 0 bull Homeless

7 bull bull Migrant

8 bull bull Runaway




Pensions Retirement






Date


Citv State Zip Code















Page 1










Pensions Retirement



9 $ $ $ $ bull


16 $ $ $ $ bull

17 $ $ $ $ bull

18 $ $ $ $ bull

19 $ $ $ $ bull

20 $ $ $ $ bull


Page 2






1 bull EDG



6 bull bull Migrant

7 0 bull Runaway








Date


City State Zip Code




Programs













Page 1












19 $ $ $ $ bull 20 $ S $ $ bull


Page 2






































Documentation












o00







Td en los alios

ultimos 5 ailos




(MMR)














Exenciones





salud publica









la dosis requerida

Doeumentacion



septiembre de 1991






FR

June 30 2014



Dear Mr Meza
















Sincerely

D JUL 2014


Ch J0lsMWrs



Agreed-end Accepted

V-7









Students Name



Current School


City State Zip

















I San Angelo TX 76906 3256533200

X8 XiV




















Office 3256533200








YesNo







White








Current

Previous

Previous




Yes No Other



Both Parents Father

Other Mother


FatherGuardian




MotherGuardian




Father Yes

Mother Yes_



No

No

Job

Job

Rank

Rank

Primary Contact

Home Phone

Work Phone

Cell Phone

Primary Contact|

Home Phone

Work Phone

Cell Phone

Last Name






Preferred Doctor


Preferred Hospital

Cell Phone

Dr

Preferred Dentist

Phone Name

Other Doctor

Phone

Dr Phone Dr


Phone










San Angelo TX 76904



DISCIPLINE RECORDS












Parent Name

Signature Date


I I





Principal Date





SanAngeloTX 76906 3256533200







Signature Date


Physical Address

City State Zip

Phone Number Fax




SanAngeloTX 76906 3256533200











Date




Student Name Grade

ParentGuardian Name




Allergies Yes or No


List FoodAllergy






Signature Date





2013-2014

Dear Parents










Date



San Angelo TX 76906 3256533200



Student Name Grade











OVER

























Dear Parents







Date



San Angelo TX 76906 3256533200


Student Name Grade







Students Name Date



Address Phone








San Angelo TX 76906 3256533200



Dear Parents











Address Phone








San Angelo TX 76906 3256533200


2013-2014

Student Name Grade





Date




San Angelo TX 76906 3256533200







SanAngeloTX 76906 325-653-3200

UNIFORM AGREEMENT









San Angelo TX 76906 3256533200


STUDENT




PARENT OR GUARDIAN




SPONSORING TEACHER








areas



guidelines






Parenting Classes






administration)














Date Date



San Angelo TX 76906 3256533200


















Teacher signature

Principal signature









Student Signature









For all students





higher education




Date (monthdayyear)


TLCA


Dear Parents









the form below


TLC Academy

Childs Name(s)



Email Cell Phone


Other


Email Cell Phone


Other


APPENDIX F


















F2







For Students


For Staff


F3























F4






















White



F5























F6



Dear ParentGuardian



































Sincerely


Page 1






















- migrant or

- runaway





court 5




Page 2






1 bull 2 bull EDG



5 o

6 0 bull Homeless

7 bull bull Migrant

8 bull bull Runaway




Pensions Retirement






Date


Citv State Zip Code















Page 1










Pensions Retirement



9 $ $ $ $ bull


16 $ $ $ $ bull

17 $ $ $ $ bull

18 $ $ $ $ bull

19 $ $ $ $ bull

20 $ $ $ $ bull


Page 2






1 bull EDG



6 bull bull Migrant

7 0 bull Runaway








Date


City State Zip Code




Programs













Page 1












19 $ $ $ $ bull 20 $ S $ $ bull


Page 2






































Documentation












o00







Td en los alios

ultimos 5 ailos




(MMR)














Exenciones





salud publica









la dosis requerida

Doeumentacion



septiembre de 1991






FR

June 30 2014



Dear Mr Meza
















Sincerely

D JUL 2014


Ch J0lsMWrs



Agreed-end Accepted

V-7





I San Angelo TX 76906 3256533200

X8 XiV




















Office 3256533200








YesNo







White








Current

Previous

Previous




Yes No Other



Both Parents Father

Other Mother


FatherGuardian




MotherGuardian




Father Yes

Mother Yes_



No

No

Job

Job

Rank

Rank

Primary Contact

Home Phone

Work Phone

Cell Phone

Primary Contact|

Home Phone

Work Phone

Cell Phone

Last Name






Preferred Doctor


Preferred Hospital

Cell Phone

Dr

Preferred Dentist

Phone Name

Other Doctor

Phone

Dr Phone Dr


Phone










San Angelo TX 76904



DISCIPLINE RECORDS












Parent Name

Signature Date


I I





Principal Date





SanAngeloTX 76906 3256533200







Signature Date


Physical Address

City State Zip

Phone Number Fax




SanAngeloTX 76906 3256533200











Date




Student Name Grade

ParentGuardian Name




Allergies Yes or No


List FoodAllergy






Signature Date





2013-2014

Dear Parents










Date



San Angelo TX 76906 3256533200



Student Name Grade











OVER

























Dear Parents







Date



San Angelo TX 76906 3256533200


Student Name Grade







Students Name Date



Address Phone








San Angelo TX 76906 3256533200



Dear Parents











Address Phone








San Angelo TX 76906 3256533200


2013-2014

Student Name Grade





Date




San Angelo TX 76906 3256533200







SanAngeloTX 76906 325-653-3200

UNIFORM AGREEMENT









San Angelo TX 76906 3256533200


STUDENT




PARENT OR GUARDIAN




SPONSORING TEACHER








areas



guidelines






Parenting Classes






administration)














Date Date



San Angelo TX 76906 3256533200


















Teacher signature

Principal signature









Student Signature









For all students





higher education




Date (monthdayyear)


TLCA


Dear Parents









the form below


TLC Academy

Childs Name(s)



Email Cell Phone


Other


Email Cell Phone


Other


APPENDIX F


















F2







For Students


For Staff


F3























F4






















White



F5























F6



Dear ParentGuardian



































Sincerely


Page 1






















- migrant or

- runaway





court 5




Page 2






1 bull 2 bull EDG



5 o

6 0 bull Homeless

7 bull bull Migrant

8 bull bull Runaway




Pensions Retirement






Date


Citv State Zip Code















Page 1










Pensions Retirement



9 $ $ $ $ bull


16 $ $ $ $ bull

17 $ $ $ $ bull

18 $ $ $ $ bull

19 $ $ $ $ bull

20 $ $ $ $ bull


Page 2






1 bull EDG



6 bull bull Migrant

7 0 bull Runaway








Date


City State Zip Code




Programs













Page 1












19 $ $ $ $ bull 20 $ S $ $ bull


Page 2






































Documentation












o00







Td en los alios

ultimos 5 ailos




(MMR)














Exenciones





salud publica









la dosis requerida

Doeumentacion



septiembre de 1991






FR

June 30 2014



Dear Mr Meza
















Sincerely

D JUL 2014


Ch J0lsMWrs



Agreed-end Accepted

V-7







Office 3256533200








YesNo







White








Current

Previous

Previous




Yes No Other



Both Parents Father

Other Mother


FatherGuardian




MotherGuardian




Father Yes

Mother Yes_



No

No

Job

Job

Rank

Rank

Primary Contact

Home Phone

Work Phone

Cell Phone

Primary Contact|

Home Phone

Work Phone

Cell Phone

Last Name






Preferred Doctor


Preferred Hospital

Cell Phone

Dr

Preferred Dentist

Phone Name

Other Doctor

Phone

Dr Phone Dr


Phone










San Angelo TX 76904



DISCIPLINE RECORDS












Parent Name

Signature Date


I I





Principal Date





SanAngeloTX 76906 3256533200







Signature Date


Physical Address

City State Zip

Phone Number Fax




SanAngeloTX 76906 3256533200











Date




Student Name Grade

ParentGuardian Name




Allergies Yes or No


List FoodAllergy






Signature Date





2013-2014

Dear Parents










Date



San Angelo TX 76906 3256533200



Student Name Grade











OVER

























Dear Parents







Date



San Angelo TX 76906 3256533200


Student Name Grade







Students Name Date



Address Phone








San Angelo TX 76906 3256533200



Dear Parents











Address Phone








San Angelo TX 76906 3256533200


2013-2014

Student Name Grade





Date




San Angelo TX 76906 3256533200







SanAngeloTX 76906 325-653-3200

UNIFORM AGREEMENT









San Angelo TX 76906 3256533200


STUDENT




PARENT OR GUARDIAN




SPONSORING TEACHER








areas



guidelines






Parenting Classes






administration)














Date Date



San Angelo TX 76906 3256533200


















Teacher signature

Principal signature









Student Signature









For all students





higher education




Date (monthdayyear)


TLCA


Dear Parents









the form below


TLC Academy

Childs Name(s)



Email Cell Phone


Other


Email Cell Phone


Other


APPENDIX F


















F2







For Students


For Staff


F3























F4






















White



F5























F6



Dear ParentGuardian



































Sincerely


Page 1






















- migrant or

- runaway





court 5




Page 2






1 bull 2 bull EDG



5 o

6 0 bull Homeless

7 bull bull Migrant

8 bull bull Runaway




Pensions Retirement






Date


Citv State Zip Code















Page 1










Pensions Retirement



9 $ $ $ $ bull


16 $ $ $ $ bull

17 $ $ $ $ bull

18 $ $ $ $ bull

19 $ $ $ $ bull

20 $ $ $ $ bull


Page 2






1 bull EDG



6 bull bull Migrant

7 0 bull Runaway








Date


City State Zip Code




Programs













Page 1












19 $ $ $ $ bull 20 $ S $ $ bull


Page 2






































Documentation












o00







Td en los alios

ultimos 5 ailos




(MMR)














Exenciones





salud publica









la dosis requerida

Doeumentacion



septiembre de 1991






FR

June 30 2014



Dear Mr Meza
















Sincerely

D JUL 2014


Ch J0lsMWrs



Agreed-end Accepted

V-7





Both Parents Father

Other Mother


FatherGuardian




MotherGuardian




Father Yes

Mother Yes_



No

No

Job

Job

Rank

Rank

Primary Contact

Home Phone

Work Phone

Cell Phone

Primary Contact|

Home Phone

Work Phone

Cell Phone

Last Name






Preferred Doctor


Preferred Hospital

Cell Phone

Dr

Preferred Dentist

Phone Name

Other Doctor

Phone

Dr Phone Dr


Phone










San Angelo TX 76904



DISCIPLINE RECORDS












Parent Name

Signature Date


I I





Principal Date





SanAngeloTX 76906 3256533200







Signature Date


Physical Address

City State Zip

Phone Number Fax




SanAngeloTX 76906 3256533200











Date




Student Name Grade

ParentGuardian Name




Allergies Yes or No


List FoodAllergy






Signature Date





2013-2014

Dear Parents










Date



San Angelo TX 76906 3256533200



Student Name Grade











OVER

























Dear Parents







Date



San Angelo TX 76906 3256533200


Student Name Grade







Students Name Date



Address Phone








San Angelo TX 76906 3256533200



Dear Parents











Address Phone








San Angelo TX 76906 3256533200


2013-2014

Student Name Grade





Date




San Angelo TX 76906 3256533200







SanAngeloTX 76906 325-653-3200

UNIFORM AGREEMENT









San Angelo TX 76906 3256533200


STUDENT




PARENT OR GUARDIAN




SPONSORING TEACHER








areas



guidelines






Parenting Classes






administration)














Date Date



San Angelo TX 76906 3256533200


















Teacher signature

Principal signature









Student Signature









For all students





higher education




Date (monthdayyear)


TLCA


Dear Parents









the form below


TLC Academy

Childs Name(s)



Email Cell Phone


Other


Email Cell Phone


Other


APPENDIX F


















F2







For Students


For Staff


F3























F4






















White



F5























F6



Dear ParentGuardian



































Sincerely


Page 1






















- migrant or

- runaway





court 5




Page 2






1 bull 2 bull EDG



5 o

6 0 bull Homeless

7 bull bull Migrant

8 bull bull Runaway




Pensions Retirement






Date


Citv State Zip Code















Page 1










Pensions Retirement



9 $ $ $ $ bull


16 $ $ $ $ bull

17 $ $ $ $ bull

18 $ $ $ $ bull

19 $ $ $ $ bull

20 $ $ $ $ bull


Page 2






1 bull EDG



6 bull bull Migrant

7 0 bull Runaway








Date


City State Zip Code




Programs













Page 1












19 $ $ $ $ bull 20 $ S $ $ bull


Page 2






































Documentation












o00







Td en los alios

ultimos 5 ailos




(MMR)














Exenciones





salud publica









la dosis requerida

Doeumentacion



septiembre de 1991






FR

June 30 2014



Dear Mr Meza
















Sincerely

D JUL 2014


Ch J0lsMWrs



Agreed-end Accepted

V-7





San Angelo TX 76904



DISCIPLINE RECORDS












Parent Name

Signature Date


I I





Principal Date





SanAngeloTX 76906 3256533200







Signature Date


Physical Address

City State Zip

Phone Number Fax




SanAngeloTX 76906 3256533200











Date




Student Name Grade

ParentGuardian Name




Allergies Yes or No


List FoodAllergy






Signature Date





2013-2014

Dear Parents










Date



San Angelo TX 76906 3256533200



Student Name Grade











OVER

























Dear Parents







Date



San Angelo TX 76906 3256533200


Student Name Grade







Students Name Date



Address Phone








San Angelo TX 76906 3256533200



Dear Parents











Address Phone








San Angelo TX 76906 3256533200


2013-2014

Student Name Grade





Date




San Angelo TX 76906 3256533200







SanAngeloTX 76906 325-653-3200

UNIFORM AGREEMENT









San Angelo TX 76906 3256533200


STUDENT




PARENT OR GUARDIAN




SPONSORING TEACHER








areas



guidelines






Parenting Classes






administration)














Date Date



San Angelo TX 76906 3256533200


















Teacher signature

Principal signature









Student Signature









For all students





higher education




Date (monthdayyear)


TLCA


Dear Parents









the form below


TLC Academy

Childs Name(s)



Email Cell Phone


Other


Email Cell Phone


Other


APPENDIX F


















F2







For Students


For Staff


F3























F4






















White



F5























F6



Dear ParentGuardian



































Sincerely


Page 1






















- migrant or

- runaway





court 5




Page 2






1 bull 2 bull EDG



5 o

6 0 bull Homeless

7 bull bull Migrant

8 bull bull Runaway




Pensions Retirement






Date


Citv State Zip Code















Page 1










Pensions Retirement



9 $ $ $ $ bull


16 $ $ $ $ bull

17 $ $ $ $ bull

18 $ $ $ $ bull

19 $ $ $ $ bull

20 $ $ $ $ bull


Page 2






1 bull EDG



6 bull bull Migrant

7 0 bull Runaway








Date


City State Zip Code




Programs













Page 1












19 $ $ $ $ bull 20 $ S $ $ bull


Page 2






































Documentation












o00







Td en los alios

ultimos 5 ailos




(MMR)














Exenciones





salud publica









la dosis requerida

Doeumentacion



septiembre de 1991






FR

June 30 2014



Dear Mr Meza
















Sincerely

D JUL 2014


Ch J0lsMWrs



Agreed-end Accepted

V-7





SanAngeloTX 76906 3256533200







Signature Date


Physical Address

City State Zip

Phone Number Fax




SanAngeloTX 76906 3256533200











Date




Student Name Grade

ParentGuardian Name




Allergies Yes or No


List FoodAllergy






Signature Date





2013-2014

Dear Parents










Date



San Angelo TX 76906 3256533200



Student Name Grade











OVER

























Dear Parents







Date



San Angelo TX 76906 3256533200


Student Name Grade







Students Name Date



Address Phone








San Angelo TX 76906 3256533200



Dear Parents











Address Phone








San Angelo TX 76906 3256533200


2013-2014

Student Name Grade





Date




San Angelo TX 76906 3256533200







SanAngeloTX 76906 325-653-3200

UNIFORM AGREEMENT









San Angelo TX 76906 3256533200


STUDENT




PARENT OR GUARDIAN




SPONSORING TEACHER








areas



guidelines






Parenting Classes






administration)














Date Date



San Angelo TX 76906 3256533200


















Teacher signature

Principal signature









Student Signature









For all students





higher education




Date (monthdayyear)


TLCA


Dear Parents









the form below


TLC Academy

Childs Name(s)



Email Cell Phone


Other


Email Cell Phone


Other


APPENDIX F


















F2







For Students


For Staff


F3























F4






















White



F5























F6



Dear ParentGuardian



































Sincerely


Page 1






















- migrant or

- runaway





court 5




Page 2






1 bull 2 bull EDG



5 o

6 0 bull Homeless

7 bull bull Migrant

8 bull bull Runaway




Pensions Retirement






Date


Citv State Zip Code















Page 1










Pensions Retirement



9 $ $ $ $ bull


16 $ $ $ $ bull

17 $ $ $ $ bull

18 $ $ $ $ bull

19 $ $ $ $ bull

20 $ $ $ $ bull


Page 2






1 bull EDG



6 bull bull Migrant

7 0 bull Runaway








Date


City State Zip Code




Programs













Page 1












19 $ $ $ $ bull 20 $ S $ $ bull


Page 2






































Documentation












o00







Td en los alios

ultimos 5 ailos




(MMR)














Exenciones





salud publica









la dosis requerida

Doeumentacion



septiembre de 1991






FR

June 30 2014



Dear Mr Meza
















Sincerely

D JUL 2014


Ch J0lsMWrs



Agreed-end Accepted

V-7





SanAngeloTX 76906 3256533200











Date




Student Name Grade

ParentGuardian Name




Allergies Yes or No


List FoodAllergy






Signature Date





2013-2014

Dear Parents










Date



San Angelo TX 76906 3256533200



Student Name Grade











OVER

























Dear Parents







Date



San Angelo TX 76906 3256533200


Student Name Grade







Students Name Date



Address Phone








San Angelo TX 76906 3256533200



Dear Parents











Address Phone








San Angelo TX 76906 3256533200


2013-2014

Student Name Grade





Date




San Angelo TX 76906 3256533200







SanAngeloTX 76906 325-653-3200

UNIFORM AGREEMENT









San Angelo TX 76906 3256533200


STUDENT




PARENT OR GUARDIAN




SPONSORING TEACHER








areas



guidelines






Parenting Classes






administration)














Date Date



San Angelo TX 76906 3256533200


















Teacher signature

Principal signature









Student Signature









For all students





higher education




Date (monthdayyear)


TLCA


Dear Parents









the form below


TLC Academy

Childs Name(s)



Email Cell Phone


Other


Email Cell Phone


Other


APPENDIX F


















F2







For Students


For Staff


F3























F4






















White



F5























F6



Dear ParentGuardian



































Sincerely


Page 1






















- migrant or

- runaway





court 5




Page 2






1 bull 2 bull EDG



5 o

6 0 bull Homeless

7 bull bull Migrant

8 bull bull Runaway




Pensions Retirement






Date


Citv State Zip Code















Page 1










Pensions Retirement



9 $ $ $ $ bull


16 $ $ $ $ bull

17 $ $ $ $ bull

18 $ $ $ $ bull

19 $ $ $ $ bull

20 $ $ $ $ bull


Page 2






1 bull EDG



6 bull bull Migrant

7 0 bull Runaway








Date


City State Zip Code




Programs













Page 1












19 $ $ $ $ bull 20 $ S $ $ bull


Page 2






































Documentation












o00







Td en los alios

ultimos 5 ailos




(MMR)














Exenciones





salud publica









la dosis requerida

Doeumentacion



septiembre de 1991






FR

June 30 2014



Dear Mr Meza
















Sincerely

D JUL 2014


Ch J0lsMWrs



Agreed-end Accepted

V-7






Student Name Grade

ParentGuardian Name




Allergies Yes or No


List FoodAllergy






Signature Date





2013-2014

Dear Parents










Date



San Angelo TX 76906 3256533200



Student Name Grade











OVER

























Dear Parents







Date



San Angelo TX 76906 3256533200


Student Name Grade







Students Name Date



Address Phone








San Angelo TX 76906 3256533200



Dear Parents











Address Phone








San Angelo TX 76906 3256533200


2013-2014

Student Name Grade





Date




San Angelo TX 76906 3256533200







SanAngeloTX 76906 325-653-3200

UNIFORM AGREEMENT









San Angelo TX 76906 3256533200


STUDENT




PARENT OR GUARDIAN




SPONSORING TEACHER








areas



guidelines






Parenting Classes






administration)














Date Date



San Angelo TX 76906 3256533200


















Teacher signature

Principal signature









Student Signature









For all students





higher education




Date (monthdayyear)


TLCA


Dear Parents









the form below


TLC Academy

Childs Name(s)



Email Cell Phone


Other


Email Cell Phone


Other


APPENDIX F


















F2







For Students


For Staff


F3























F4






















White



F5























F6



Dear ParentGuardian



































Sincerely


Page 1






















- migrant or

- runaway





court 5




Page 2






1 bull 2 bull EDG



5 o

6 0 bull Homeless

7 bull bull Migrant

8 bull bull Runaway




Pensions Retirement






Date


Citv State Zip Code















Page 1










Pensions Retirement



9 $ $ $ $ bull


16 $ $ $ $ bull

17 $ $ $ $ bull

18 $ $ $ $ bull

19 $ $ $ $ bull

20 $ $ $ $ bull


Page 2






1 bull EDG



6 bull bull Migrant

7 0 bull Runaway








Date


City State Zip Code




Programs













Page 1












19 $ $ $ $ bull 20 $ S $ $ bull


Page 2






































Documentation












o00







Td en los alios

ultimos 5 ailos




(MMR)














Exenciones





salud publica









la dosis requerida

Doeumentacion



septiembre de 1991






FR

June 30 2014



Dear Mr Meza
















Sincerely

D JUL 2014


Ch J0lsMWrs



Agreed-end Accepted

V-7







2013-2014

Dear Parents










Date



San Angelo TX 76906 3256533200



Student Name Grade











OVER

























Dear Parents







Date



San Angelo TX 76906 3256533200


Student Name Grade







Students Name Date



Address Phone








San Angelo TX 76906 3256533200



Dear Parents











Address Phone








San Angelo TX 76906 3256533200


2013-2014

Student Name Grade





Date




San Angelo TX 76906 3256533200







SanAngeloTX 76906 325-653-3200

UNIFORM AGREEMENT









San Angelo TX 76906 3256533200


STUDENT




PARENT OR GUARDIAN




SPONSORING TEACHER








areas



guidelines






Parenting Classes






administration)














Date Date



San Angelo TX 76906 3256533200


















Teacher signature

Principal signature









Student Signature









For all students





higher education




Date (monthdayyear)


TLCA


Dear Parents









the form below


TLC Academy

Childs Name(s)



Email Cell Phone


Other


Email Cell Phone


Other


APPENDIX F


















F2







For Students


For Staff


F3























F4






















White



F5























F6



Dear ParentGuardian



































Sincerely


Page 1






















- migrant or

- runaway





court 5




Page 2






1 bull 2 bull EDG



5 o

6 0 bull Homeless

7 bull bull Migrant

8 bull bull Runaway




Pensions Retirement






Date


Citv State Zip Code















Page 1










Pensions Retirement



9 $ $ $ $ bull


16 $ $ $ $ bull

17 $ $ $ $ bull

18 $ $ $ $ bull

19 $ $ $ $ bull

20 $ $ $ $ bull


Page 2






1 bull EDG



6 bull bull Migrant

7 0 bull Runaway








Date


City State Zip Code




Programs













Page 1












19 $ $ $ $ bull 20 $ S $ $ bull


Page 2






































Documentation












o00







Td en los alios

ultimos 5 ailos




(MMR)














Exenciones





salud publica









la dosis requerida

Doeumentacion



septiembre de 1991






FR

June 30 2014



Dear Mr Meza
















Sincerely

D JUL 2014


Ch J0lsMWrs



Agreed-end Accepted

V-7





San Angelo TX 76906 3256533200



Student Name Grade











OVER

























Dear Parents







Date



San Angelo TX 76906 3256533200


Student Name Grade







Students Name Date



Address Phone








San Angelo TX 76906 3256533200



Dear Parents











Address Phone








San Angelo TX 76906 3256533200


2013-2014

Student Name Grade





Date




San Angelo TX 76906 3256533200







SanAngeloTX 76906 325-653-3200

UNIFORM AGREEMENT









San Angelo TX 76906 3256533200


STUDENT




PARENT OR GUARDIAN




SPONSORING TEACHER








areas



guidelines






Parenting Classes






administration)














Date Date



San Angelo TX 76906 3256533200


















Teacher signature

Principal signature









Student Signature









For all students





higher education




Date (monthdayyear)


TLCA


Dear Parents









the form below


TLC Academy

Childs Name(s)



Email Cell Phone


Other


Email Cell Phone


Other


APPENDIX F


















F2







For Students


For Staff


F3























F4






















White



F5























F6



Dear ParentGuardian



































Sincerely


Page 1






















- migrant or

- runaway





court 5




Page 2






1 bull 2 bull EDG



5 o

6 0 bull Homeless

7 bull bull Migrant

8 bull bull Runaway




Pensions Retirement






Date


Citv State Zip Code















Page 1










Pensions Retirement



9 $ $ $ $ bull


16 $ $ $ $ bull

17 $ $ $ $ bull

18 $ $ $ $ bull

19 $ $ $ $ bull

20 $ $ $ $ bull


Page 2






1 bull EDG



6 bull bull Migrant

7 0 bull Runaway








Date


City State Zip Code




Programs













Page 1












19 $ $ $ $ bull 20 $ S $ $ bull


Page 2






































Documentation












o00







Td en los alios

ultimos 5 ailos




(MMR)














Exenciones





salud publica









la dosis requerida

Doeumentacion



septiembre de 1991






FR

June 30 2014



Dear Mr Meza
















Sincerely

D JUL 2014


Ch J0lsMWrs



Agreed-end Accepted

V-7



























Dear Parents







Date



San Angelo TX 76906 3256533200


Student Name Grade







Students Name Date



Address Phone








San Angelo TX 76906 3256533200



Dear Parents











Address Phone








San Angelo TX 76906 3256533200


2013-2014

Student Name Grade





Date




San Angelo TX 76906 3256533200







SanAngeloTX 76906 325-653-3200

UNIFORM AGREEMENT









San Angelo TX 76906 3256533200


STUDENT




PARENT OR GUARDIAN




SPONSORING TEACHER








areas



guidelines






Parenting Classes






administration)














Date Date



San Angelo TX 76906 3256533200


















Teacher signature

Principal signature









Student Signature









For all students





higher education




Date (monthdayyear)


TLCA


Dear Parents









the form below


TLC Academy

Childs Name(s)



Email Cell Phone


Other


Email Cell Phone


Other


APPENDIX F


















F2







For Students


For Staff


F3























F4






















White



F5























F6



Dear ParentGuardian



































Sincerely


Page 1






















- migrant or

- runaway





court 5




Page 2






1 bull 2 bull EDG



5 o

6 0 bull Homeless

7 bull bull Migrant

8 bull bull Runaway




Pensions Retirement






Date


Citv State Zip Code















Page 1










Pensions Retirement



9 $ $ $ $ bull


16 $ $ $ $ bull

17 $ $ $ $ bull

18 $ $ $ $ bull

19 $ $ $ $ bull

20 $ $ $ $ bull


Page 2






1 bull EDG



6 bull bull Migrant

7 0 bull Runaway








Date


City State Zip Code




Programs













Page 1












19 $ $ $ $ bull 20 $ S $ $ bull


Page 2






































Documentation












o00







Td en los alios

ultimos 5 ailos




(MMR)














Exenciones





salud publica









la dosis requerida

Doeumentacion



septiembre de 1991






FR

June 30 2014



Dear Mr Meza
















Sincerely

D JUL 2014


Ch J0lsMWrs



Agreed-end Accepted

V-7





San Angelo TX 76906 3256533200


Student Name Grade







Students Name Date



Address Phone








San Angelo TX 76906 3256533200



Dear Parents











Address Phone








San Angelo TX 76906 3256533200


2013-2014

Student Name Grade





Date




San Angelo TX 76906 3256533200







SanAngeloTX 76906 325-653-3200

UNIFORM AGREEMENT









San Angelo TX 76906 3256533200


STUDENT




PARENT OR GUARDIAN




SPONSORING TEACHER








areas



guidelines






Parenting Classes






administration)














Date Date



San Angelo TX 76906 3256533200


















Teacher signature

Principal signature









Student Signature









For all students





higher education




Date (monthdayyear)


TLCA


Dear Parents









the form below


TLC Academy

Childs Name(s)



Email Cell Phone


Other


Email Cell Phone


Other


APPENDIX F


















F2







For Students


For Staff


F3























F4






















White



F5























F6



Dear ParentGuardian



































Sincerely


Page 1






















- migrant or

- runaway





court 5




Page 2






1 bull 2 bull EDG



5 o

6 0 bull Homeless

7 bull bull Migrant

8 bull bull Runaway




Pensions Retirement






Date


Citv State Zip Code















Page 1










Pensions Retirement



9 $ $ $ $ bull


16 $ $ $ $ bull

17 $ $ $ $ bull

18 $ $ $ $ bull

19 $ $ $ $ bull

20 $ $ $ $ bull


Page 2






1 bull EDG



6 bull bull Migrant

7 0 bull Runaway








Date


City State Zip Code




Programs













Page 1












19 $ $ $ $ bull 20 $ S $ $ bull


Page 2






































Documentation












o00







Td en los alios

ultimos 5 ailos




(MMR)














Exenciones





salud publica









la dosis requerida

Doeumentacion



septiembre de 1991






FR

June 30 2014



Dear Mr Meza
















Sincerely

D JUL 2014


Ch J0lsMWrs



Agreed-end Accepted

V-7





San Angelo TX 76906 3256533200



Dear Parents











Address Phone








San Angelo TX 76906 3256533200


2013-2014

Student Name Grade





Date




San Angelo TX 76906 3256533200







SanAngeloTX 76906 325-653-3200

UNIFORM AGREEMENT









San Angelo TX 76906 3256533200


STUDENT




PARENT OR GUARDIAN




SPONSORING TEACHER








areas



guidelines






Parenting Classes






administration)














Date Date



San Angelo TX 76906 3256533200


















Teacher signature

Principal signature









Student Signature









For all students





higher education




Date (monthdayyear)


TLCA


Dear Parents









the form below


TLC Academy

Childs Name(s)



Email Cell Phone


Other


Email Cell Phone


Other


APPENDIX F


















F2







For Students


For Staff


F3























F4






















White



F5























F6



Dear ParentGuardian



































Sincerely


Page 1






















- migrant or

- runaway





court 5




Page 2






1 bull 2 bull EDG



5 o

6 0 bull Homeless

7 bull bull Migrant

8 bull bull Runaway




Pensions Retirement






Date


Citv State Zip Code















Page 1










Pensions Retirement



9 $ $ $ $ bull


16 $ $ $ $ bull

17 $ $ $ $ bull

18 $ $ $ $ bull

19 $ $ $ $ bull

20 $ $ $ $ bull


Page 2






1 bull EDG



6 bull bull Migrant

7 0 bull Runaway








Date


City State Zip Code




Programs













Page 1












19 $ $ $ $ bull 20 $ S $ $ bull


Page 2






































Documentation












o00







Td en los alios

ultimos 5 ailos




(MMR)














Exenciones





salud publica









la dosis requerida

Doeumentacion



septiembre de 1991






FR

June 30 2014



Dear Mr Meza
















Sincerely

D JUL 2014


Ch J0lsMWrs



Agreed-end Accepted

V-7





San Angelo TX 76906 3256533200


2013-2014

Student Name Grade





Date




San Angelo TX 76906 3256533200







SanAngeloTX 76906 325-653-3200

UNIFORM AGREEMENT









San Angelo TX 76906 3256533200


STUDENT




PARENT OR GUARDIAN




SPONSORING TEACHER








areas



guidelines






Parenting Classes






administration)














Date Date



San Angelo TX 76906 3256533200


















Teacher signature

Principal signature









Student Signature









For all students





higher education




Date (monthdayyear)


TLCA


Dear Parents









the form below


TLC Academy

Childs Name(s)



Email Cell Phone


Other


Email Cell Phone


Other


APPENDIX F


















F2







For Students


For Staff


F3























F4






















White



F5























F6



Dear ParentGuardian



































Sincerely


Page 1






















- migrant or

- runaway





court 5




Page 2






1 bull 2 bull EDG



5 o

6 0 bull Homeless

7 bull bull Migrant

8 bull bull Runaway




Pensions Retirement






Date


Citv State Zip Code















Page 1










Pensions Retirement



9 $ $ $ $ bull


16 $ $ $ $ bull

17 $ $ $ $ bull

18 $ $ $ $ bull

19 $ $ $ $ bull

20 $ $ $ $ bull


Page 2






1 bull EDG



6 bull bull Migrant

7 0 bull Runaway








Date


City State Zip Code




Programs













Page 1












19 $ $ $ $ bull 20 $ S $ $ bull


Page 2






































Documentation












o00







Td en los alios

ultimos 5 ailos




(MMR)














Exenciones





salud publica









la dosis requerida

Doeumentacion



septiembre de 1991






FR

June 30 2014



Dear Mr Meza
















Sincerely

D JUL 2014


Ch J0lsMWrs



Agreed-end Accepted

V-7





San Angelo TX 76906 3256533200







SanAngeloTX 76906 325-653-3200

UNIFORM AGREEMENT









San Angelo TX 76906 3256533200


STUDENT




PARENT OR GUARDIAN




SPONSORING TEACHER








areas



guidelines






Parenting Classes






administration)














Date Date



San Angelo TX 76906 3256533200


















Teacher signature

Principal signature









Student Signature









For all students





higher education




Date (monthdayyear)


TLCA


Dear Parents









the form below


TLC Academy

Childs Name(s)



Email Cell Phone


Other


Email Cell Phone


Other


APPENDIX F


















F2







For Students


For Staff


F3























F4






















White



F5























F6



Dear ParentGuardian



































Sincerely


Page 1






















- migrant or

- runaway





court 5




Page 2






1 bull 2 bull EDG



5 o

6 0 bull Homeless

7 bull bull Migrant

8 bull bull Runaway




Pensions Retirement






Date


Citv State Zip Code















Page 1










Pensions Retirement



9 $ $ $ $ bull


16 $ $ $ $ bull

17 $ $ $ $ bull

18 $ $ $ $ bull

19 $ $ $ $ bull

20 $ $ $ $ bull


Page 2






1 bull EDG



6 bull bull Migrant

7 0 bull Runaway








Date


City State Zip Code




Programs













Page 1












19 $ $ $ $ bull 20 $ S $ $ bull


Page 2






































Documentation












o00







Td en los alios

ultimos 5 ailos




(MMR)














Exenciones





salud publica









la dosis requerida

Doeumentacion



septiembre de 1991






FR

June 30 2014



Dear Mr Meza
















Sincerely

D JUL 2014


Ch J0lsMWrs



Agreed-end Accepted

V-7





SanAngeloTX 76906 325-653-3200

UNIFORM AGREEMENT









San Angelo TX 76906 3256533200


STUDENT




PARENT OR GUARDIAN




SPONSORING TEACHER








areas



guidelines






Parenting Classes






administration)














Date Date



San Angelo TX 76906 3256533200


















Teacher signature

Principal signature









Student Signature









For all students





higher education




Date (monthdayyear)


TLCA


Dear Parents









the form below


TLC Academy

Childs Name(s)



Email Cell Phone


Other


Email Cell Phone


Other


APPENDIX F


















F2







For Students


For Staff


F3























F4






















White



F5























F6



Dear ParentGuardian



































Sincerely


Page 1






















- migrant or

- runaway





court 5




Page 2






1 bull 2 bull EDG



5 o

6 0 bull Homeless

7 bull bull Migrant

8 bull bull Runaway




Pensions Retirement






Date


Citv State Zip Code















Page 1










Pensions Retirement



9 $ $ $ $ bull


16 $ $ $ $ bull

17 $ $ $ $ bull

18 $ $ $ $ bull

19 $ $ $ $ bull

20 $ $ $ $ bull


Page 2






1 bull EDG



6 bull bull Migrant

7 0 bull Runaway








Date


City State Zip Code




Programs













Page 1












19 $ $ $ $ bull 20 $ S $ $ bull


Page 2






































Documentation












o00







Td en los alios

ultimos 5 ailos




(MMR)














Exenciones





salud publica









la dosis requerida

Doeumentacion



septiembre de 1991






FR

June 30 2014



Dear Mr Meza
















Sincerely

D JUL 2014


Ch J0lsMWrs



Agreed-end Accepted

V-7





San Angelo TX 76906 3256533200


STUDENT




PARENT OR GUARDIAN




SPONSORING TEACHER








areas



guidelines






Parenting Classes






administration)














Date Date



San Angelo TX 76906 3256533200


















Teacher signature

Principal signature









Student Signature









For all students





higher education




Date (monthdayyear)


TLCA


Dear Parents









the form below


TLC Academy

Childs Name(s)



Email Cell Phone


Other


Email Cell Phone


Other


APPENDIX F


















F2







For Students


For Staff


F3























F4






















White



F5























F6



Dear ParentGuardian



































Sincerely


Page 1






















- migrant or

- runaway





court 5




Page 2






1 bull 2 bull EDG



5 o

6 0 bull Homeless

7 bull bull Migrant

8 bull bull Runaway




Pensions Retirement






Date


Citv State Zip Code















Page 1










Pensions Retirement



9 $ $ $ $ bull


16 $ $ $ $ bull

17 $ $ $ $ bull

18 $ $ $ $ bull

19 $ $ $ $ bull

20 $ $ $ $ bull


Page 2






1 bull EDG



6 bull bull Migrant

7 0 bull Runaway








Date


City State Zip Code




Programs













Page 1












19 $ $ $ $ bull 20 $ S $ $ bull


Page 2






































Documentation












o00







Td en los alios

ultimos 5 ailos




(MMR)














Exenciones





salud publica









la dosis requerida

Doeumentacion



septiembre de 1991






FR

June 30 2014



Dear Mr Meza
















Sincerely

D JUL 2014


Ch J0lsMWrs



Agreed-end Accepted

V-7







areas



guidelines






Parenting Classes






administration)














Date Date



San Angelo TX 76906 3256533200


















Teacher signature

Principal signature









Student Signature









For all students





higher education




Date (monthdayyear)


TLCA


Dear Parents









the form below


TLC Academy

Childs Name(s)



Email Cell Phone


Other


Email Cell Phone


Other


APPENDIX F


















F2







For Students


For Staff


F3























F4






















White



F5























F6



Dear ParentGuardian



































Sincerely


Page 1






















- migrant or

- runaway





court 5




Page 2






1 bull 2 bull EDG



5 o

6 0 bull Homeless

7 bull bull Migrant

8 bull bull Runaway




Pensions Retirement






Date


Citv State Zip Code















Page 1










Pensions Retirement



9 $ $ $ $ bull


16 $ $ $ $ bull

17 $ $ $ $ bull

18 $ $ $ $ bull

19 $ $ $ $ bull

20 $ $ $ $ bull


Page 2






1 bull EDG



6 bull bull Migrant

7 0 bull Runaway








Date


City State Zip Code




Programs













Page 1












19 $ $ $ $ bull 20 $ S $ $ bull


Page 2






































Documentation












o00







Td en los alios

ultimos 5 ailos




(MMR)














Exenciones





salud publica









la dosis requerida

Doeumentacion



septiembre de 1991






FR

June 30 2014



Dear Mr Meza
















Sincerely

D JUL 2014


Ch J0lsMWrs



Agreed-end Accepted

V-7





San Angelo TX 76906 3256533200


















Teacher signature

Principal signature









Student Signature









For all students





higher education




Date (monthdayyear)


TLCA


Dear Parents









the form below


TLC Academy

Childs Name(s)



Email Cell Phone


Other


Email Cell Phone


Other


APPENDIX F


















F2







For Students


For Staff


F3























F4






















White



F5























F6



Dear ParentGuardian



































Sincerely


Page 1






















- migrant or

- runaway





court 5




Page 2






1 bull 2 bull EDG



5 o

6 0 bull Homeless

7 bull bull Migrant

8 bull bull Runaway




Pensions Retirement






Date


Citv State Zip Code















Page 1










Pensions Retirement



9 $ $ $ $ bull


16 $ $ $ $ bull

17 $ $ $ $ bull

18 $ $ $ $ bull

19 $ $ $ $ bull

20 $ $ $ $ bull


Page 2






1 bull EDG



6 bull bull Migrant

7 0 bull Runaway








Date


City State Zip Code




Programs













Page 1












19 $ $ $ $ bull 20 $ S $ $ bull


Page 2






































Documentation












o00







Td en los alios

ultimos 5 ailos




(MMR)














Exenciones





salud publica









la dosis requerida

Doeumentacion



septiembre de 1991






FR

June 30 2014



Dear Mr Meza
















Sincerely

D JUL 2014


Ch J0lsMWrs



Agreed-end Accepted

V-7











For all students





higher education




Date (monthdayyear)


TLCA


Dear Parents









the form below


TLC Academy

Childs Name(s)



Email Cell Phone


Other


Email Cell Phone


Other


APPENDIX F


















F2







For Students


For Staff


F3























F4






















White



F5























F6



Dear ParentGuardian



































Sincerely


Page 1






















- migrant or

- runaway





court 5




Page 2






1 bull 2 bull EDG



5 o

6 0 bull Homeless

7 bull bull Migrant

8 bull bull Runaway




Pensions Retirement






Date


Citv State Zip Code















Page 1










Pensions Retirement



9 $ $ $ $ bull


16 $ $ $ $ bull

17 $ $ $ $ bull

18 $ $ $ $ bull

19 $ $ $ $ bull

20 $ $ $ $ bull


Page 2






1 bull EDG



6 bull bull Migrant

7 0 bull Runaway








Date


City State Zip Code




Programs













Page 1












19 $ $ $ $ bull 20 $ S $ $ bull


Page 2






































Documentation












o00







Td en los alios

ultimos 5 ailos




(MMR)














Exenciones





salud publica









la dosis requerida

Doeumentacion



septiembre de 1991






FR

June 30 2014



Dear Mr Meza
















Sincerely

D JUL 2014


Ch J0lsMWrs



Agreed-end Accepted

V-7




TLCA


Dear Parents









the form below


TLC Academy

Childs Name(s)



Email Cell Phone


Other


Email Cell Phone


Other


APPENDIX F


















F2







For Students


For Staff


F3























F4






















White



F5























F6



Dear ParentGuardian



































Sincerely


Page 1






















- migrant or

- runaway





court 5




Page 2






1 bull 2 bull EDG



5 o

6 0 bull Homeless

7 bull bull Migrant

8 bull bull Runaway




Pensions Retirement






Date


Citv State Zip Code















Page 1










Pensions Retirement



9 $ $ $ $ bull


16 $ $ $ $ bull

17 $ $ $ $ bull

18 $ $ $ $ bull

19 $ $ $ $ bull

20 $ $ $ $ bull


Page 2






1 bull EDG



6 bull bull Migrant

7 0 bull Runaway








Date


City State Zip Code




Programs













Page 1












19 $ $ $ $ bull 20 $ S $ $ bull


Page 2






































Documentation












o00







Td en los alios

ultimos 5 ailos




(MMR)














Exenciones





salud publica









la dosis requerida

Doeumentacion



septiembre de 1991






FR

June 30 2014



Dear Mr Meza
















Sincerely

D JUL 2014


Ch J0lsMWrs



Agreed-end Accepted

V-7




APPENDIX F


















F2







For Students


For Staff


F3























F4






















White



F5























F6



Dear ParentGuardian



































Sincerely


Page 1






















- migrant or

- runaway





court 5




Page 2






1 bull 2 bull EDG



5 o

6 0 bull Homeless

7 bull bull Migrant

8 bull bull Runaway




Pensions Retirement






Date


Citv State Zip Code















Page 1










Pensions Retirement



9 $ $ $ $ bull


16 $ $ $ $ bull

17 $ $ $ $ bull

18 $ $ $ $ bull

19 $ $ $ $ bull

20 $ $ $ $ bull


Page 2






1 bull EDG



6 bull bull Migrant

7 0 bull Runaway








Date


City State Zip Code




Programs













Page 1












19 $ $ $ $ bull 20 $ S $ $ bull


Page 2






































Documentation












o00







Td en los alios

ultimos 5 ailos




(MMR)














Exenciones





salud publica









la dosis requerida

Doeumentacion



septiembre de 1991






FR

June 30 2014



Dear Mr Meza
















Sincerely

D JUL 2014


Ch J0lsMWrs



Agreed-end Accepted

V-7









F2







For Students


For Staff


F3























F4






















White



F5























F6



Dear ParentGuardian



































Sincerely


Page 1






















- migrant or

- runaway





court 5




Page 2






1 bull 2 bull EDG



5 o

6 0 bull Homeless

7 bull bull Migrant

8 bull bull Runaway




Pensions Retirement






Date


Citv State Zip Code















Page 1










Pensions Retirement



9 $ $ $ $ bull


16 $ $ $ $ bull

17 $ $ $ $ bull

18 $ $ $ $ bull

19 $ $ $ $ bull

20 $ $ $ $ bull


Page 2






1 bull EDG



6 bull bull Migrant

7 0 bull Runaway








Date


City State Zip Code




Programs













Page 1












19 $ $ $ $ bull 20 $ S $ $ bull


Page 2






































Documentation












o00







Td en los alios

ultimos 5 ailos




(MMR)














Exenciones





salud publica









la dosis requerida

Doeumentacion



septiembre de 1991






FR

June 30 2014



Dear Mr Meza
















Sincerely

D JUL 2014


Ch J0lsMWrs



Agreed-end Accepted

V-7









For Students


For Staff


F3























F4






















White



F5























F6



Dear ParentGuardian



































Sincerely


Page 1






















- migrant or

- runaway





court 5




Page 2






1 bull 2 bull EDG



5 o

6 0 bull Homeless

7 bull bull Migrant

8 bull bull Runaway




Pensions Retirement






Date


Citv State Zip Code















Page 1










Pensions Retirement



9 $ $ $ $ bull


16 $ $ $ $ bull

17 $ $ $ $ bull

18 $ $ $ $ bull

19 $ $ $ $ bull

20 $ $ $ $ bull


Page 2






1 bull EDG



6 bull bull Migrant

7 0 bull Runaway








Date


City State Zip Code




Programs













Page 1












19 $ $ $ $ bull 20 $ S $ $ bull


Page 2






































Documentation












o00







Td en los alios

ultimos 5 ailos




(MMR)














Exenciones





salud publica









la dosis requerida

Doeumentacion



septiembre de 1991






FR

June 30 2014



Dear Mr Meza
















Sincerely

D JUL 2014


Ch J0lsMWrs



Agreed-end Accepted

V-7

























F4






















White



F5























F6



Dear ParentGuardian



































Sincerely


Page 1






















- migrant or

- runaway





court 5




Page 2






1 bull 2 bull EDG



5 o

6 0 bull Homeless

7 bull bull Migrant

8 bull bull Runaway




Pensions Retirement






Date


Citv State Zip Code















Page 1










Pensions Retirement



9 $ $ $ $ bull


16 $ $ $ $ bull

17 $ $ $ $ bull

18 $ $ $ $ bull

19 $ $ $ $ bull

20 $ $ $ $ bull


Page 2






1 bull EDG



6 bull bull Migrant

7 0 bull Runaway








Date


City State Zip Code




Programs













Page 1












19 $ $ $ $ bull 20 $ S $ $ bull


Page 2






































Documentation












o00







Td en los alios

ultimos 5 ailos




(MMR)














Exenciones





salud publica









la dosis requerida

Doeumentacion



septiembre de 1991






FR

June 30 2014



Dear Mr Meza
















Sincerely

D JUL 2014


Ch J0lsMWrs



Agreed-end Accepted

V-7
























White



F5























F6



Dear ParentGuardian



































Sincerely


Page 1






















- migrant or

- runaway





court 5




Page 2






1 bull 2 bull EDG



5 o

6 0 bull Homeless

7 bull bull Migrant

8 bull bull Runaway




Pensions Retirement






Date


Citv State Zip Code















Page 1










Pensions Retirement



9 $ $ $ $ bull


16 $ $ $ $ bull

17 $ $ $ $ bull

18 $ $ $ $ bull

19 $ $ $ $ bull

20 $ $ $ $ bull


Page 2






1 bull EDG



6 bull bull Migrant

7 0 bull Runaway








Date


City State Zip Code




Programs













Page 1












19 $ $ $ $ bull 20 $ S $ $ bull


Page 2






































Documentation












o00







Td en los alios

ultimos 5 ailos




(MMR)














Exenciones





salud publica









la dosis requerida

Doeumentacion



septiembre de 1991






FR

June 30 2014



Dear Mr Meza
















Sincerely

D JUL 2014


Ch J0lsMWrs



Agreed-end Accepted

V-7

























F6



Dear ParentGuardian



































Sincerely


Page 1






















- migrant or

- runaway





court 5




Page 2






1 bull 2 bull EDG



5 o

6 0 bull Homeless

7 bull bull Migrant

8 bull bull Runaway




Pensions Retirement






Date


Citv State Zip Code















Page 1










Pensions Retirement



9 $ $ $ $ bull


16 $ $ $ $ bull

17 $ $ $ $ bull

18 $ $ $ $ bull

19 $ $ $ $ bull

20 $ $ $ $ bull


Page 2






1 bull EDG



6 bull bull Migrant

7 0 bull Runaway








Date


City State Zip Code




Programs













Page 1












19 $ $ $ $ bull 20 $ S $ $ bull


Page 2






































Documentation












o00







Td en los alios

ultimos 5 ailos




(MMR)














Exenciones





salud publica









la dosis requerida

Doeumentacion



septiembre de 1991






FR

June 30 2014



Dear Mr Meza
















Sincerely

D JUL 2014


Ch J0lsMWrs



Agreed-end Accepted

V-7





Dear ParentGuardian



































Sincerely


Page 1






















- migrant or

- runaway





court 5




Page 2






1 bull 2 bull EDG



5 o

6 0 bull Homeless

7 bull bull Migrant

8 bull bull Runaway




Pensions Retirement






Date


Citv State Zip Code















Page 1










Pensions Retirement



9 $ $ $ $ bull


16 $ $ $ $ bull

17 $ $ $ $ bull

18 $ $ $ $ bull

19 $ $ $ $ bull

20 $ $ $ $ bull


Page 2






1 bull EDG



6 bull bull Migrant

7 0 bull Runaway








Date


City State Zip Code




Programs













Page 1












19 $ $ $ $ bull 20 $ S $ $ bull


Page 2






































Documentation












o00







Td en los alios

ultimos 5 ailos




(MMR)














Exenciones





salud publica









la dosis requerida

Doeumentacion



septiembre de 1991






FR

June 30 2014



Dear Mr Meza
















Sincerely

D JUL 2014


Ch J0lsMWrs



Agreed-end Accepted

V-7
























- migrant or

- runaway





court 5




Page 2






1 bull 2 bull EDG



5 o

6 0 bull Homeless

7 bull bull Migrant

8 bull bull Runaway




Pensions Retirement






Date


Citv State Zip Code















Page 1










Pensions Retirement



9 $ $ $ $ bull


16 $ $ $ $ bull

17 $ $ $ $ bull

18 $ $ $ $ bull

19 $ $ $ $ bull

20 $ $ $ $ bull


Page 2






1 bull EDG



6 bull bull Migrant

7 0 bull Runaway








Date


City State Zip Code




Programs













Page 1












19 $ $ $ $ bull 20 $ S $ $ bull


Page 2






































Documentation












o00







Td en los alios

ultimos 5 ailos




(MMR)














Exenciones





salud publica









la dosis requerida

Doeumentacion



septiembre de 1991






FR

June 30 2014



Dear Mr Meza
















Sincerely

D JUL 2014


Ch J0lsMWrs



Agreed-end Accepted

V-7








1 bull 2 bull EDG



5 o

6 0 bull Homeless

7 bull bull Migrant

8 bull bull Runaway




Pensions Retirement






Date


Citv State Zip Code















Page 1










Pensions Retirement



9 $ $ $ $ bull


16 $ $ $ $ bull

17 $ $ $ $ bull

18 $ $ $ $ bull

19 $ $ $ $ bull

20 $ $ $ $ bull


Page 2






1 bull EDG



6 bull bull Migrant

7 0 bull Runaway








Date


City State Zip Code




Programs













Page 1












19 $ $ $ $ bull 20 $ S $ $ bull


Page 2






































Documentation












o00







Td en los alios

ultimos 5 ailos




(MMR)














Exenciones





salud publica









la dosis requerida

Doeumentacion



septiembre de 1991






FR

June 30 2014



Dear Mr Meza
















Sincerely

D JUL 2014


Ch J0lsMWrs



Agreed-end Accepted

V-7












Pensions Retirement



9 $ $ $ $ bull


16 $ $ $ $ bull

17 $ $ $ $ bull

18 $ $ $ $ bull

19 $ $ $ $ bull

20 $ $ $ $ bull


Page 2






1 bull EDG



6 bull bull Migrant

7 0 bull Runaway








Date


City State Zip Code




Programs













Page 1












19 $ $ $ $ bull 20 $ S $ $ bull


Page 2






































Documentation












o00







Td en los alios

ultimos 5 ailos




(MMR)














Exenciones





salud publica









la dosis requerida

Doeumentacion



septiembre de 1991






FR

June 30 2014



Dear Mr Meza
















Sincerely

D JUL 2014


Ch J0lsMWrs



Agreed-end Accepted

V-7








1 bull EDG



6 bull bull Migrant

7 0 bull Runaway








Date


City State Zip Code




Programs













Page 1












19 $ $ $ $ bull 20 $ S $ $ bull


Page 2






































Documentation












o00







Td en los alios

ultimos 5 ailos




(MMR)














Exenciones





salud publica









la dosis requerida

Doeumentacion



septiembre de 1991






FR

June 30 2014



Dear Mr Meza
















Sincerely

D JUL 2014


Ch J0lsMWrs



Agreed-end Accepted

V-7














19 $ $ $ $ bull 20 $ S $ $ bull


Page 2






































Documentation












o00







Td en los alios

ultimos 5 ailos




(MMR)














Exenciones





salud publica









la dosis requerida

Doeumentacion



septiembre de 1991






FR

June 30 2014



Dear Mr Meza
















Sincerely

D JUL 2014


Ch J0lsMWrs



Agreed-end Accepted

V-7








































Documentation












o00







Td en los alios

ultimos 5 ailos




(MMR)














Exenciones





salud publica









la dosis requerida

Doeumentacion



septiembre de 1991






FR

June 30 2014



Dear Mr Meza
















Sincerely

D JUL 2014


Ch J0lsMWrs



Agreed-end Accepted

V-7









o00







Td en los alios

ultimos 5 ailos




(MMR)














Exenciones





salud publica









la dosis requerida

Doeumentacion



septiembre de 1991






FR

June 30 2014



Dear Mr Meza
















Sincerely

D JUL 2014


Ch J0lsMWrs



Agreed-end Accepted

V-7



Exenciones





salud publica









la dosis requerida

Doeumentacion



septiembre de 1991






FR

June 30 2014



Dear Mr Meza
















Sincerely

D JUL 2014


Ch J0lsMWrs



Agreed-end Accepted

V-7





FR

June 30 2014



Dear Mr Meza
















Sincerely

D JUL 2014


Ch J0lsMWrs



Agreed-end Accepted

V-7











Sincerely

D JUL 2014


Ch J0lsMWrs



Agreed-end Accepted

V-7



OPEN-ENROLLMENT CHARTER CONTRACT RENEWAL...

Documents

Transcript of OPEN-ENROLLMENT CHARTER CONTRACT RENEWAL...