2019 Elevate [Math] EnrollmentNimisha Khanduja2019-04-08T13:21:30-08:00 (2019) Elevate [Math] Student Enrollment Form PLEASE READ: These school districts (Berryessa, Mountain View Whisman, Mountain View Los Altos, Oak Grove, Redwood City) do not accept online enrollment - you must turn in a hardcopy enrollment form to the school office instead.POR FAVOR LEA: Estos distritos escolares (Berryessa, Mountain View Whisman, Mountain View Los Altos, Oak Grove, Redwood City) no aceptan inscripciones de Internet - tenga que regresar un formulario de papel a la oficina de su escuela. Student Information | Información Estudiantil Student First Name | Nombre del Estudiante Student Last Name | Apellido del Estudiante Student State ID # | # ID Estudiantil Student District ID # | # ID de Distrito Escolar Current School District | Distrito Escolar ActualPlease select... Alum Rock Union School District Bayshore Elementary School District Cambrian School District Campbell Union School District Cupertino Union School District Downtown College Prep East Side Union High School District Evergreen School District Franklin-McKinley School District Hollister School District Lodi Unified School District Luther Burbank School District Menlo Park City School District Moreland School District Mount Pleasant Elementary School District Orchard School District Pajaro Valley Unified School District Pierce Joint Unified School District Salem-Keizer Public School District Salinas City Elementary School District San Benito High School District San Bruno Park School District San Jose Unified School District Santa Clara Unified School District Sequoia Union High School District Soledad Unified School District South San Francisco Unified School District Sunnyvale School District Union Elementary School District Voices Franklin McKinley School District Current School | Escuela ActualPlease select... Adelante Dual Language Academy Aptitud Community Academy at Goss Arbuckle (Clyde) School Cassell (Sylvia) School Cesar Chavez Elementary School Cureton (Horace) School Dorsa (Anthony J.) School Fischer (Clyde L.) Middle School George (Joseph) Middle School Hubbard School Linda Vista School LUCHA Elementary School Lyndale School Mathson (Lee) Middle School McCollam (Millard) School Meyer School Ocala Middle School Painter (Ben) School Renaissance Academy at Fischer Renaissance Academy at Mathson Russo (Anthony P.) Academy Ryan (Thomas P.) School San Antonio Elementary School Sheppard (William) Middle School Adelante Dual Language Academy II The Bayshore School Bagby School Fammatre School Farnham Elementary School Ida Price Middle School Sartorette School Steindorf STEAM School K-5 Blackford School Campbell School of Innovation Capri Elementary School Castlemont Elementary Forest Hill Elementary Lynhaven Elementary Marshall Lane Elementary Monroe Middle School Rolling Hills Middle School Rosemary Elementary School Sherman Oaks Elementary Village School Blue Hills Elementary School Cupertino Middle School De Vargas (Manuel) Elementary School Dilworth (Nelson S.) Elementary School Faria (William) Elementary School Hyde (Warren E.) Middle School Kennedy (John F.) Middle School Lawson (Sam H.) Middle School Lincoln (Abraham) Elementary School McAuliffe (Christa) Elementary School Meyerholz Elementary School Miller (Joaquin) Middle School Montclaire Elementary School Muir (John) Elementary School Murdock-Portal Elementary School Regnart (William) Elementary School Sedgwick (D. J.) Elementary School Stevens Creek Elementary School Stocklmeir (Louis E.) Elementary School West Valley Elementary School DCP Alum Rock High School DCP Alum Rock Middle School DCP El Camino Middle School DCP El Primero High School Andrew P. Hill High School Apollo High School Calero High School Escuela Popular Evergreen Valley High School Foothill High School Independence High School James Lick High School Latino College Preparatory Academy Mt. Pleasant High School Oak Grove High School Pegasus High School Phoenix High School Piedmont Hills High School San Jose Conservation Corps Charter School Santa Teresa High School Silver Creek High School William C. Overfelt High School Yerba Buena High School Bulldog Tech Cadwallader School Carolyn Clark School Cedar Grove Elementary School Cedar Grove School Chaboya Middle School Chaboya School Dove Hill Elementary School Evergreen Elementary School Holly Oak School Laurelwood Elementary School LeyVa (George V.) Middle School Lobo School of Innovation Matsumoto (Tom) School Millbrook Elementary School Montgomery School Norwood Creek School Quimby Oak Middle School Silver Oak School Smith (James Franklin) School Smith (Katherine R.) School Whaley (O.B.) School Bridges Academy College Connection Academy Cornerstone Academy Dahl (Capt. Jason M.) Elementary School Franklin Elementary School Hellyer (G.W.) School Kennedy (Robert F.) School Lairon College Preparatory Academy McKinley Elementary School Meadows (J.R.) School Ramblewood Elementary School Santee Elementary School Shirakawa (George, Sr.) Elementary School Stonegate Elementary School Sylvandale Middle School Windmill Springs Elementary School Accelerated Achievement Academy Calaveras Elementary School Cerra Vista Elementary School Gabilan Hills Elementary School Hollister Dual Language Academy Ladd Lane Elementary School Marguerite Maze Middle School R.O. Hardin Elementary School Rancho San Justo Middle School Sunnyslope Elementary School Ansel Adams Elementary School Bear Creek High School Beckman Elementary School Christa McAuliffe Middle School Clairmont Elementary School Creekside Elementary School Davis Elementary School Delta Sierra Middle School Elkhorn Elementary School Ellerth Larson Elementary School George Lincoln Mosher Elementary School Henderson Middle School Heritage Primary Elementary School Houston School Joe Serna Jr Charter School John Muir Elementary School Julia Morgan Elementary School Lakewood Elementary School Lawrence Elementary School Liberty High School Live Oak Elementary School Lockeford Elementary School Lodi High School Lodi Middle School Lois Borchardt Elementary School Manlio Silva Elementary School Middle College High School Millswood Middle School Morada Middle School Needham School Nichols Elementary School Oakwood Elementary School Parklane Elementary School Plaza Robles High School Podesta Ranch Elementary School Reese Elementary School Ronald McNair High School Sutherland Elementary Tokay High School Victor Elementary School Vinewood Elementary School Wagner Holt Elementary Washington Elementary School Westwood Elementary School Woodbridge Elementary School Luther Burbank Elementary School Encinal School Hillview Middle School Laurel School Oak Knoll School Anderson Elementary School Baker (Gussie M.) School Country Lane School Easterbrook Discovery School Latimer Elementary School Moreland Middle School Payne (George C.) School August Boeger Middle School Ida Jew Academies Charter School Mount Pleasant Elementary School Sanders (Robert) School Valle Vista School Orchard Elementary School Alianza Charter School Amesti Elementary School Ann Soldo Elementary School Bradley Elementary School Calabasas Elementary School E.A. Hall Middle School Freedom Elementary School H.A. Hyde Elementary School Hall District Elementary School Lakeview Middle School Landmark Elementary School MacQuiddy Elementary School Mar Vista Elementary School Mintie White Elementary School Ohlone Elementary School Radcliff Elementary School Rio Del Mar Elementary School Starlight Elementary School Valencia Elementary Arbuckle Elementary School Grand Island Elementary School Lloyd G. Johnson Junior High School Pierce High School North Salem High School Parrish Middle School Waldo Middle School Walker Middle School Boronda Dia Boronda Meadows El Gabilan Henry F. Kammann Laurel Wood Lincoln Loma Vista Los Padres Mission Park Elementary School Monterey Park Natividad Elementary School Roosevelt Sherwood Elementary School University Park San Benito High School Belle Air Elementary School Crestmoor Elementary School Decima Allen Elementary School El Crystal Elementary School John Muir Elementary School Parkside Intermediate School Portola Elementary School Rollingwood Elementary School Allen at Steinbeck School Almaden Elementary School Bachrodt (Walter L.) Elementary School Booksin Elementary School Broadway High School Burnett (Peter) Middle School Canoas Elementary School Carson (Rachel) Elementary School Castillero Middle School Darling (Anne) Elementary School Empire Gardens Elementary School Galarza Elementary School Gardner Elementary School Grant Elementary School Graystone Elementary School Gunderson High School Hacienda Elementary School Harte (Bret) Middle School Hoover (Herbert) Middle School Leland High School Lincoln High School Los Alamitos Elementary School Lowell Elementary School Mann (Horace) Elementary School Muir (John) Middle School Olinder (Selma) Elementary School Pioneer High School Reed Elementary School River Glen School San Jose Community High School San Jose High School San Jose Middle College Schallenberger Elementary School Simonds Elementary School Terrell Elementary School Trace (Meritt) Elementary School Washington Elementary School Williams Elementary School Willow Glen Elementary School Willow Glen High School Willow Glen Middle School Bowers Elementary School Bracher Elementary School Braly Elementary School Briarwood Elementary School Buchser Middle School Cabrillo Middle School Callejon K-8 School Central Park Elementary School Haman Elementary School Hughes (Kathryn) Elementary School Laurelwood Elementary School Mayne (George) Elementary School Millikin Basics+ Elementary School Mission Early College High School Montague Elementary School New Valley High School Peterson Middle School Pomeroy Elementary School Ponderosa Elementary School Santa Clara Community Day Santa Clara High School Scott Lane Elementary School Sutter Elementary School Washington Open Elementary School Westwood Elementary School Wilcox High School Wilson High School Carlmont High School East Palo Alto Academy Menlo-Atherton High School Redwood High School Sequoia High School Woodside High School Community Education Center Frank Ledesma Elementary Gabilan Elementary Jack Francscioni Elementary Main Street Middle School Rose Ferrero Elementary San Vicente Elementary Soledad High School Alta Loma Middle School Baden High School Buri Buri Elementary School El Camino High School Hillside Elementary School Junipero Serra Elementary School Los Cerritos Elementary School Martin Elementary School Monte Verde Elementary School Parkway Heights Middle School Ponderosa Elementary School Skyline Elementary School South San Francisco High School Spruce Elementary School Sunshine Gardens Elementary School Westborough Middle School Bishop Elementary School Cherry Chase School Columbia Middle School Cumberland School Ellis School Fairwood School Lakewood School San Miguel School Sunnyvale Middle School Vargas School Alta Vista Elementary School Carlton School Dartmouth Middle School Guadalupe School Lietz School Noddin School Oster Elementary School Union Middle School Voices College-Bound Language Academy Date of Birth (MM/DD/YYYY) | Fecha de Nacimiento Current Grade | Nivel Escolar (2018-19)Please select... Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 Grade 7 Grade 8 Grade 9 Gender | GéneroPlease select... Female | Femenino Male | Masculino Prefer not to answer | Prefiero no contestar What race does your child identify with? | ¿Con qué raza se identifica su hijo/a?Please select... Native American or Alaska Native | Nativo Americano o Nativo de Alaska Asian | Asiatico Black or African American | Negro o Africano Americano Hispanic or Latino | Hispano o Latino Pacific Islander | Isleño del Pacifico White | Blanco Prefer not to answer | Prefiero no contestar Mixed Race or Other | Raza Mixta o Otra Raza Parent/Guardian Information (Emergency Contact) | Información del Padre/Guardián (Contacto de Emergencia) Parent/Guardian First Name | Nombre del Padre/Guardián Parent/Guardian Last Name | Apellido del Padre/Guardián Parent/Guardian Email | Correo Electrónico del Padre/Guardián Mobile Phone | Teléfono de Móvil Home Phone | Teléfono de Hogar Preferred Language | Idioma PreferidoPlease select... English | Ingles Spanish | Español Vietnamese Family Agreement | Acuerdo Familiar I agree with the following program policies... | Estoy de acuerdo con las siguientes pólizas...I understand that the Elevate [Math] program requires my child to attend each class session. | Entiendo que el programa Elevate [Math] requiere que mi hijo/a asista a todas las clases.I understand my child will have access to the internet for certain class activities. | Entiendo que mi hijo/a tendrá acceso al internet para algunas actividades de las clases.I understand that my child and/or I will receive Elevate [Math] program related electronic communications throughout the year, and I understand that I can unsubscribe at any time. | Entiendo que mi hijo/a y yo recibiremos comunicaciones electrónicas con información relacionada con el programa durante el año. Entiendo que puedo darme de baja en cualquier momento.I consent to the collection and storage of my child’s school records by SVEF for purposes of the Elevate [Math] program, as well as the sharing of my child’s school records between SVEF and their school district. I understand that the information will be shared for the purpose of evaluating the success and impact of the program. I understand that personal information such as student name and contact information will not be shared with any 3rd parties and will only be used to provide ongoing program communication to my child. | Doy mi consentimiento para que SVEF recopile y almacene los registros escolares de mi hijo/a para el uso del programa Elevate [Math] y para compartir los archivos escolares de mi hijo/a entre SVEF y el distrito escolar. Entiendo que la información será compartida con el fin de evaluar el éxito y el impacto del programa. La información personal, como el nombre de mi hijo/a, no será compartida con ningún otro grupo.I understand my student may be photographed, videotaped and/or interviewed during the duration of the Elevate [Math] program. (see here for more information) | Entiendo que mi hijo/a podrá ser fotografiado, grabado en video y/o entrevistado durante la duración del programa Elevate [Math]. (vea aquí para más información) I acknowledge that I have read and understand that this authorization and consent will remain effective until I revoke it by notifying SVEF or the school district. This will stop the exchange of information authorized by this document. A copy of this authorization and consent is valid to exchange information. Please type your name below to indicate your agreement for your child to participate in the Elevate [Math] program. Reconozco que he leído y entendido esta autorización y que mi consentimiento será efectivo hasta que yo revoque la autorización con SVEF o con el distrito escolar. Una copia de esta autorización y consentimiento es válida para intercambiar información. Por favor, escriba su nombre abajo para indicar su consentimiento de que su hijo/a participe en el programa Elevate [Math]. I do not consent to my child being photographed, videotaped and/or interviewed. | No quiero que mi hijo/a será fotografiado, grabado en video y/o entrevistado. Signature | Firma Date | Fecha ****PLEASE ONLY CLICK 'SUBMIT' ONCEIT MAY TAKE A COUPLE MINUTES TO PROCESS****FAVOR DE HACER CLIC EN EL BOTÓN 'SUBMIT' SÓLO UNA VEZPUEDE TOMAR ALGUNOS MINUTOS PARA PROCESAR**** Need help? Spots in Elevate [Math] are reserved only for students who have been invited to apply or received an invitation flyer. Any other enrollments may be declined upon review. Speak to your school/school district if you are unsure about your student’s eligibility.