# JFAA-E1 - Admission of Resident Students Procedure (for Students enrolling in School for the First Time)

**JFAA-E1 - Admission of Resident Students Procedure  
(for Students enrolling in School for the First Time)**

Admission Requirements:

1. <span class="s2">Proof of Residency - required (Please reference acceptable proof of residency documents list)  
    </span>
2. <span class="s2">Updated Immunization record - required (Please reference JLCB-R immunization requirement list)  
    </span>
3. <span class="s2">Birth Certificate - required  
    </span>
4. <span class="s2">Previous School Information/Records release. - required</span>

<span class="s2">a. If your child is entering pre-k, they still need to fill out and sign the release form and indicate N/A on the form  
</span>

The district encourages electronic registration per the link below:

<span style="text-decoration: underline;">***<span class="s3">[https://mecloud1.infinitecampus.org/campus/OLRLogin/msad35](https://mecloud1.infinitecampus.org/campus/OLRLogin/msad35)</span>***</span>

Paper registration form below:

The following information and certification are required before a student will be admitted to the Maine School Administrative District 35 (MSAD #35).

Student’s Full Legal Name: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Date of Birth:<span class="Apple-converted-space"> </span>\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Student’s Residence: (Street address, city, state and zip code)

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Home telephone number: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

<table cellpadding="0" cellspacing="0" class="t1" id="bkmrk-student-lives-with-%28" style="height: 342px; width: 386px; border-style: solid; border-color: black;"><tbody><tr style="height: 192px;"><td class="td1" style="width: 386px; height: 192px;" valign="top">Student lives with (check all that apply):

<span class="Apple-converted-space"> </span>

<span class="s4">☐</span> Father, daytime phone: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

<span class="s4">☐</span> Mother, daytime phone: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

<span class="s4">☐</span> Legal Guardian, daytime phone: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

</td></tr><tr style="height: 10px;"><td class="td4" style="width: 386px; height: 10px;" valign="top">List Additional Siblings and Schools Attending:

</td></tr><tr style="height: 35px;"><td class="td7" style="width: 386px; height: 35px;" valign="top"></td></tr><tr style="height: 35px;"><td class="td7" style="width: 386px; height: 35px;" valign="top"><span class="Apple-converted-space"> </span>

</td></tr><tr style="height: 35px;"><td class="td7" style="width: 386px; height: 35px;" valign="top"><span class="Apple-converted-space"> </span>

</td></tr><tr style="height: 35px;"><td class="td10" style="width: 386px; height: 35px;" valign="top"></td></tr></tbody></table>

If the student lives in the district with a legal guardian who is not a parent, a certified copy of the court order appointing the guardian must be attached.

If a custodial parent/guardian wishes the district to comply with the provisions of a court order related to the student, a certified copy of the court order must be attached.

If the student is an emancipated minor, a certified copy of the court order must be attached.<span class="Apple-converted-space"> </span>

Other living arrangements: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

<span class="s3">***Parent/Guardian Certification of Residency Requirement***</span>

I certify that I live with the student named above at the street address identified above. I understand that MSAD #35 will require proof of residency and that I have the burden of proof regarding residency. If this residency information changes, I agree to bring it to the immediate attention of MSAD #35.<span class="Apple-converted-space"> </span>Proof of Residency documents accepted by MSAD #35 are as follows: ***utility bill, purchase and sale agreement, voter registration, current official lease or renter’s agreement.***

Date: \_\_\_\_\_\_\_\_\_\_\_ Signature: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Print Name: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

<span style="text-decoration: underline;"><span class="s3">***Birth Certificate and Immunization Records Requirements***</span></span>

Official certified copy of student’s birth certificate (20-A M.R.S.A. Section 6002).

Immunization records (signed statement from licensed physician, nurse practitioner or physician assistant specifying immunization received, dates, and dosages). Immunization requirements can be found in policy procedure JLCB-R.

Non-immunized students are not permitted to attend schools and school activities unless one of the following conditions is met (please check applicable box):

<span class="s4">☐</span>Parent/legal guardian provides written assurance that child will be immunized within 90 days of this application *(****this option is only available once in the student’s school years)***; <span class="s3">OR</span>

<span class="s4">☐</span>Parent/legal guardian provides a written statement from a licensed physician, nurse practitioner or physician assistant that immunization against one or more diseases may be medically inadvisable (**required each year**).

*The Superintendent/designee shall exclude from school and school activities any non-immunized student when there is a clear danger to the health of others as provided by law.*

<span style="text-decoration: underline;"><span class="s3">***Additional Personnel Documents Provided by Family***</span></span>

<span class="s4">☐</span>Any Legal Documents (Custody Agreements, Protective Order, etc.

Cross Reference: JFAA – Admission of Resident Students

JLCB/JLCB-R – Immunization of Students and Procedure

Policy Adopted: November 14, 2018

Policy Revised: March 16, 2022

Policy Reviewed: March 16, 2022