Yankton Arthur Academy Enrollment Application
Please complete a separate form for each student being enrolled. Students will be on a list in the order in which they arrived or in the order of lottery if a lottery is necessary.
St. Helens Aplicación de Español
School Year You Are Applying For
2008/2009
Grade Your Student Will Be In That Year
Kindergarten 1st 2nd 3rd 4th 5th 6th
School District
David Douglas Portland Reynolds Woodburn St. Helens - Yankton School
Student Name
Date Of Birth
Month January February March April May June July August September October November December
Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Year 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005
Mailing Address
Current School (if attending)
School
District
If student is not now attending a public school, in which local school and district would student reside in fall of 2008?
IEP
Does student have an IEP (Individualized Education Program) for special education?
Yes No
Parent/Guardian Names
Mailing Address (if different)
Telephone
Day
Evening
Cell
Fax
E-mail
Siblings
Please enter names and birth dates of students being enrolled this year or in the future.
How did you hear about Arthur Academy?
Newspaper Advertisement Newspaper Article Mailing E-Mailing Referred by a Friend Saw an Arthur Academy Yellow Pages Website Other
Additional Comments
Three cut-off dates: April 1st, May 1st and July 1st
(If necessary, a lottery will be conducted on each cut-off date for a given grade. In-district students and students of siblings already attending must be enrolled first.)
St. Helens Arthur Academy 33035 Pittsburg Road St. Helens, Oregon 97051 Michael Arthur, Director (503) 366-7030 email
Operated by Mastery Learning Institute Charles Arthur, Executive Director
Job Information
Employee Resources
