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  • Ma Mcps Form 565-1a 2009

Get Ma Mcps Form 565-1a 2009-2026

PAGE 1 OF 2 If a change of address has occurred, a new proof of residency must be attached to this form before the address can be updated in the computer. Call your school to see what documentation is needed to complete this process. STUDENT NAME (LAST, FIRST , MIDDLE) STUDENT ID GRADE HOME PHONE GENDER CUSTODY CONCERNS YRBSS (SEE REVERSE) □ □ DATE OF BIRTH HOME ADDRESS BUS NO. SECTION □ NO ADDITIONAL MAILING ADDRESS HOMEROOM TEACHER YES (IF YES, CONTACT SCHOOL) MAY NOT .

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How to fill out the MA MCPS Form 565-1A online

Filling out the MA MCPS Form 565-1A online is an essential step in ensuring that your student’s emergency information is accurate and up to date. This guide provides a clear, step-by-step approach to completing the form effectively.

Follow the steps to complete the MA MCPS Form 565-1A online.

  1. Press the ‘Get Form’ button to access the form and open it in your preferred digital editor.
  2. Begin by entering the student's information in the designated fields, including their name (last, first, middle), student ID, grade, home phone number, gender, and date of birth.
  3. Next, provide the student's home address and, if applicable, an additional mailing address. Ensure the bus number and homeroom teacher's name are filled out.
  4. Fill in the language spoken at home and decide if you want to restrict the release of contact information to military recruiters.
  5. Input the names and contact information of the responsible adults, including their relationships to the student. Ensure to include work phone numbers, cell phones, and emails.
  6. Identify a person to be contacted in case of emergency by providing their name and contact information, including their relationship to the student.
  7. Supply the name and contact information of the person responsible for the student after school, along with their relationship to the student.
  8. Document the preferred language for correspondence and provide any relevant health information, including physician contacts, allergies, and medications.
  9. Indicate whether the student has a health condition requiring emergency care and if school staff will administer medication on a continuing basis.
  10. Finally, ensure that the printed name, signature, and date of a parent or guardian are included where specified.
  11. Once all fields are completed, you can save any changes made to the form, download it, print it for records, or share it as needed.

Complete the MA MCPS Form 565-1A online to ensure your student’s emergency information is accurate and ready for any situation.

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Proof of Residence If you own your home, you will need to provide one (1) of the following: Deed (all pages with all signatures) with 1 current utility bill. Settlement Papers (with all signatures) with 1 current utility bill.

Proof of residency must be submitted with all applications. Examples of Acceptable Proof: Current Montgomery County Property tax bill or current rental lease. Also submit current utility bill showing name and address. Student now residing in Montgomery County without parents and is requesting a waiver of tuition.

Proof of Residency: Homeowners: A copy of a current property tax bill, or if the property was recently bought, a copy of the Closing Disclosure. Renters: If renter, a copy of a current lease. If the original term of the lease has expired, a copy of a current utility bill, or a lease extension should be provided.

(Address and telephone number changes must be made via the Employee Self-Service (ESS) web page. Complete this form, sign, and return it to the Employee and Retiree Service Center (ERSC). You may fax the form to 301-279-3642/301-279-3651 or e-mail an electronically signed Adobe PDF file to ERSC@mcpsmd.org.

Montgomery County Public Schools has made the difficult decision to eliminate final exams in middle schools and high schools. This decision comes as one of the first of its kind, possibly setting an example for other schools across the country.

Generally accepted documents are: current rental lease; current utility bills containing applicant's name and address; or a current property tax bill.

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