To apply for enrollment with Charter School, please submit an enrollment application, with the required documents, using one of the forms below.
We begin accepting applications:
-
- January 1st for 1st Semester/Fall
- First day of school for 2nd Semester/Spring. See the school calendar for first day of school which is typically in August.
Some of the files below are in Adobe Acrobat PDF format. If you have trouble opening the file or the file opens blank, please try these PDF troubleshooting tips from Adobe.
STEP 1 - Complete an enrollment application
Use one of the following to complete your enrollment application:
- Online Enrollment
- Paper Form Enrollment (English)
- Paper Form Enrollment (Spanish)
The submission of an enrollment application does not constitute enrollment. Do not disenroll from your current school until you have met with an Education Specialist and signed a Student Agreement.
STEP 2 - Complete other required forms and documents
Required Forms
Other acceptable forms include, but are not limited to U.S. or foreign birth certificates
- adoption records
- passports
- baptismal records
- previous school records
- other forms of U.S. or foreign government-issued identification
- affidavits from a parent/guardian or pediatrician
Immunization record (copy only) – All students. In accordance with Senate Bill 277, please submit record of any immunizations received. Records will be accepted whether complete or incomplete.
Health Exam for School Entry – TK, Kindergarten and 1st grade students
Oral Health Exam (English | Spanish) – TK, Kindergarten and 1st grade students who are entering a CA public school for the first time
Required Forms (if applicable)
Caregiver Authorization Affidavit - If person enrolling student is not the parent or legal guardian
504 Plan - if drafted
Special Education Documents (if applicable)
If no IEP, a copy of all assessment reports
Step 3 - Submit Application, Forms and Documents
You can submit your completed enrollment packet using one of the following methods.
MAIL:
IEM
4535 Missouri Flat Road, Ste. 1A
Placerville, CA 95667
EMAIL:
FAX:
(530) 295-3583
Questions?
Covered California
Covered California
Informational ONLY; enrollment application packets do not require health insurance documentation.
