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Individualized Learning Since 2005

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Education is the Foundation

We commit to providing innovative public education environments for students, their parents and teachers by empowering them to collaboratively create learning opportunities which will develop responsible and contributing members of society.

enroll

To apply for enrollment with  Charter School, please submit an enrollment application, with the required documents, using one of the forms 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.

Some of the  files below are in Adobe Acrobat PDF format.  If you have trouble opening the file or the file opens blank, please try these  PDF troubleshooting tips from Adobe.

 

Enrollment Application

The submission of an enrollment application does not constitute enrollment. Do not disenroll from your current school until you have met with an Education Specialist and signed a Student Agreement.

 

Forms necessary to complete an application 

 
Required Forms
      • 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
      • 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.
      • Health Exam for School Entry – TK, Kindergarten and 1st grade students
      • Oral Health Exam – TK, Kindergarten and 1st grade students who are entering a CA public school for the first time 
 
Required Forms If Applicable
      • Unofficial Transcript – High School Students.  If you have a homeschool transcript, see our transcript template instructions.
      • IEP/504/Assessment Reports – Special Education Students
      • Special education documents if applicable:
        • Individualized Education Plan (IEP) - Most recent, wheter active or inactive
        • 504 Plan - if drafted
        • Or, if no IEP, a copy of all assessment reports
      • Caregiver Authorization Affidavit - If person enrolling student is not the parent or legal guardian

 

Submittal and Questions

Please mail or fax application to:

IEM
4535 Missouri Flat Road, Ste. 1A
Placerville, CA 95667
or fax to: 530-295-3583

Incomplete enrollment packets will be returned to the family and must be resubmitted when complete.

If you have questions about the application process please call Parent Support at 1-800-979-4436.

 

Covered California

Informational ONLY; enrollment application packets do not require health insurance documentation.



Covered CaliforniaCovered California

4535 Missouri Flat Road, Suite 1A  Placerville, CA 95667
Phone 800-979-4436 
Fax 530-295-3583

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