Enrollment Form

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Enrollment Interest Form

Who We Are
- About Us
- Program
- Staff
- Board
Ways to Support
Media
Enrollment Interest Form

The Boyce L. Ansley School is now enrolling Kindergarten- 5th grade.

We are a tuition-free private elementary school serving unhoused families.

For more information, please call 470-529-0502 or email info@theansleyschool.org.

View our 2023-24 Academic Calendar here.

Parent/Guardian Name

Parent Date of Birth

Contact Number

Address

Apt./Unit #

City

Zip

State

Are you currently experiencing homelessness?

Yes No

Please indicate how you heard about the Boyce L. Ansley School:

Google Search Referred by familly/friend Social Media Word of mouth Shelter referral Other

if 'Other', please explain:

Where do you currently Reside?

Renting own apartment/home Living with family/friends Shelter Other

if 'Shelter', please state which one:

Shelter Case Manager

Case Manager Phone

if 'Other', please explain:

Names of Child or Children to be enrolled:

Name

Date of Birth

Grade

Name

Date of Birth

Grade

Name

Date of Birth

Grade

Do you have current immunization records?

Yes No

Is your child potty trained?

Yes No

Has your child attended school before?

Yes No

Are you interested in your child receiving counseling at the school?

Yes No

Do you have a copy of your child's birth certificate and social security card?

Yes No

If your child has attended school in the past, please indicate the type of school:

Preschool Private Public Charter Homeschool

Name of Previous School

Last Date in attendance at Previous School

If you are transferring to the Ansley School, briefly explain your reason why:

What size does your child wear in clothes and shoes? (We provide free uniforms to attending students)

Do you live near public transportation? (We provide MARTA cards)

Yes No

Do you have a car?

Yes No

Briefly list any social, emotional, behavioral or academic concerns you may have that the school should be made aware of? (Play Therapy and supportive services are offered on site)

If there is any significant medical or mental health history, please share some information here.

If currently residing at the shelter, what are your plans to keep your scholar enrolled at TAS?

The Ansley School
120 Ralph McGill Blvd. NE
Bldg. 3, Suite B1
Atlanta, GA 30308
info@theansleyschool.org
470-529-0502

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