To apply, please complete and submit an enrollment application along with the required forms and documents listed 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.

1. Birth Certificate (copy only) – All Students

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

2. 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.

3. Health Exam or Waiver – TK, Kindergarten and 1st grade students

4. Oral Health Exam or Waiver (English | Spanish) or Waiver – TK, Kindergarten and 1st grade students who are entering a CA public school for the first time

5. Proof of Residency - to include, but not limited to, any of the following:

• Utility bill
• Correspondence from a government agency
• Rental property contract/lease
• Declaration of residency executed by the student's parent/guardian

You can submit your completed enrollment application, forms and documents using one of the following methods.

IEM
4535 Missouri Flat Road, Ste. 1A
Placerville, CA 95667

enrollment@ieminc.org

(530) 295-3583

• Covered California Flyer
• Covered California FAQs
• County Enrollment Assistance Resource Information for Covered California and Medi-Cal