TRIO Wolf Creek HS Student Enrollment

Student Enrollment Form

TRIO Wolf Creek Distance Learning Charter School
29678 Karmel Avenue
Chisago City, MN 55013 (FAX: 651-257-0576)
www.triowolfcreek.com (Office: 651-213-2095)

* Indicates Required Fields

Use student's legal name only

Yes
No
Yes
No
 Hispanic/Latino
 American or Alaskan Native
 Asian
 White/Caucasian
 Black/African American
 Native Hawaiian or Pacific Islander
 Father
 Mother
 Step-Parent
 Guardian
 Self
 Sibling
 Foster
 Father
 Mother
 Step-Parent
 Guardian
 Self
 Sibling
 Foster
 None
 Reservist
 Active Duty
 Veteran
 Uniformed
 None
 Reservist
 Active Duty
 Veteran
 Uniformed

If any other person shares the right to determine educational placement of this enrolling student you must provide the name and contact information of this person on this enrollment form.

If student does not live with both parents, please provide other parent's information:

Yes
No

If there is a custody matter that the school needs to be aware of, you MUST provide the office with current legal documentation from the court system regarding the decision(s) that were made.

** Please ensure that you continue attendance at your current school placement while this application is being processed; this process may take up to two weeks.

 *Student is enrolling full-time at TRIO Wolf Creek Charter School
 **Student is using the Supplementary Services legislative option.
 ***Student is Over-Enrollnent Fee.
  • * Full-time enrollment: MN students in grade 9-12+ are enrolled only at Wolf Creek Online High School. This is an over-enrollment free and solely funded by state education tax dollars and uses the normal funding formula.
  • ** Supplemental/part-time enrollment: MN students in grade 9-12+ must be enrolled as a full-time student at another public high school to participate in part-time enrollment. Classes with Wolf Creek will take the place of courses at the full-time school. This is an over-enrollment free and solely funded by state education tax dollars using the Online Learning Law.
  • *** For Over-Enrollment: MN students in grade 9-12+ have a full schedule at another public high school but need to take more credits than state education tax dollars will allow. The fee per half credit class is $499. Under special circumstances, the Director can adjust the fee. Full payment must be received at least 1 week before the start date. If a student requests a refund within five days of starting the course a 50% refund will be issued. Lastly, if payment does not clear the bank grades will be withheld from the student.

(Based on policy 624, as a charter school entity, TRIO Wolf Creek Distance Learning Charter School will accept enrollment based on 85% comprehensive students and 15% supplemental students.)

Please note that Wolf Creek reserves the right to start students at the beginning of each term and when enrollment space is available.

When enrolling in a Wolf Creek class, the parents and student commit to using Wolf Creek curriculum for individual academic purposes only. Any duplication of Wolf Creek curriculum for other purposes will be considered illegal use of copyrighted material.

If the Enrollment Packet is not competed and returned within 7 calendar days, the student’s enrollment position at Wolf Creek may be forfeited.

Yes
No
Public School
Non-Public School
Not Attending
Yes
No

Check appropriate boxes below

 Student has basic computer competencies including word processing, e-mail, etc.
 Student has a record of being able to work independently and is conscientious about completing work.
Yes
No
Yes
No
Yes
No
Yes
No
 Parent is available for supervision.
 Student has a current IEP and receives special education services.
 Student has an exited IEP but received special education services in the past.
 Student has a current 504 and receives services.
 Student has an exited 504 but received services in the past.
 Student is an English Language Learner (ELL).
 Family history of dyslexia or reading difficulty.

(Any student with an IEP or 504 Plan will have a team meeting to determine placement for services. Please note that TRIO Wolf Creek purchases services from Chisago Lakes Schools and that services may be delivered in various locations, including district of residence. It is highly recommended that you consult with your IEP Team before applying to see if it is an appropriate placement for your student.)

Parents/guardians, please ensure that your student continues attendance in his/her current school placement while enrollment is being processed; this process may take up to two weeks.

All this information on the enrollment form is true and accurate at this time.

Electronic Signature Agreement: By entering your typed name, you are signing this form electronically. You agree your electronic signature is the legal equivalent of your manual/handwritten signature. By entering your name, you consent to the legally binding terms and conditions. You further agree that your electronic signature on this document is as valid as if you signed the document in writing. You are also confirming that you are the student or parent/guardian authorized to complete this form.

Ethnic and Racial Demographic Designation Form

Schools are required to report ethnicity and race to the state and to the U.S. Department of Education. Because of recent changes to Minnesota state law, Minnesota disaggregates each category into detailed groups to further represent our student populations. Parents or guardians are not required to answer the federal questions (in bold) for their children. If you choose not to answer the federal questions (in bold), federal law requires schools to choose for you. This is a last resort—we prefer if parents or guardians complete the form. State questions are labeled as “Optional” and schools will not fill in this information for you.

This information helps improve teaching and learning for everyone and helps us accurately identify and advocate for students currently underserved. The information this form collects is considered private information. You can review the privacy notice to learn more about the purpose of collecting this information, how it will be used and not used, and how the detailed groups were identified. The privacy notice can be found in our Frequently Asked Questions: Ethnic and Racial Designation Form.

Is the student Hispanic/Latino as defined by the federal government? The federal definition includes persons of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.

 Yes  (If yes go to question A)
 No  (If no go to question 1)
 Decline to indicate
 Colombian
 Ecuadorian
 Guatemalan
 Mexican
 Puerto Rican
 Salvadoran
 Spaniard/Spanish/Spanish-American
 Other Hispanic/Latino
 Unknown

Go to question 1.

Select “yes” to at least one of the Questions (1-6) below.

 Yes  (If yes go to question 1a)
 No  (If no go to question 2)
 Decline to indicate
 Anishinaabe/Ojibwe
 Cherokee
 Dakota/Lakota
 Other North American Indian Tribal Affiliation
 Unknown

Go to question 2.

 Yes  (If yes go to question 3)
 No  (If no go to question 3)
 Yes  (If yes go to question 3a)
 No  (If no go to question 4)
 Decline to indicate
 Asian Indian
 Burmese
 Chinese
 Filipino
 Hmong
 Karen
 Korean
 Vietnamese
 Other Asian
 Unknown

Go to question 4.

 Yes  (If yes go to question 4a)
 No  (If no go to question 5)
 Decline to indicate
 African-American
 Ethiopian-Oromo
 Ethiopian-Other
 Unknown
 Liberian
 Nigerian
 Somali
 Other black

Go to question 5.

 Yes  (If yes go to question 6)
 No  (If no go to question 6)
 Yes
 No

Tennessean Warning: The data requested will help us to serve you and your children more efficiently and will be maintained as part of your child’s educational record. Some of the data, in summary form, is used in the application for grants. You are not required by law to answer the questions asked. If you do not answer the questions, we will have incomplete information for our records.