| 1) |
Name |
Enter TCOVE ROP enrollee’s last name
followed by a comma, a blank space, first name and initial.
This is a MANDATORY zone.
|
| 2) |
Gender |
This is a MANDATORY zone.
|
| 3) |
Grade Level |
This is a MANDATORY zone.
Adult students need to indicate the level of
educational achievement and whether they consent to the
release of information relative to the Performance Based
Accountability (PBA) follow-up statistical reporting requirement.
|
| 4) |
Address |
Enter the number, street or P.O. Box were mail is received.
This is a MANDATORY zone.
|
| 5) |
City |
Enter the city where mail is received.
This
is a MANDATORY zone.
|
| 6) |
Zip Code |
Enter the zip code where mail is received.
This
is a MANDATORY zone.
|
| 7) |
Home Phone |
Enter the area code and home phone number.
This
is a MANDATORY zone.
|
| 8) |
Birthdate |
Enter the birth month, day and year. TCOVE ROP courses
are available to individuals who are 16 years or older.
Exceptions to this policy are considered by instructor
and counselor recommendation, approval of both the district
high school principal and TCOVE ROP Director (see Early
ROP Enrollment Eligibility Form). Refer all students under
16 requesting enrollment to your high school principal.
This is a MANDATORY zone.
|
| 9) |
Social Security Number |
Only students who are 18 years of age or older and not
enrolled in high school, should complete this zone. Adult
students enter the Social Security number only
after receiving and signing the privacy notice and student
consent form relative to the Performance Based Accountability
(PBA) follow-up statistical reporting requirement.
|
| 10) |
District |
Enter the school district of residence. Please refer
to the preprinted, class specific information at the top
of this page. For enrollees foreign to your district please
contact your TCOVE ROP district contact person. This
is a MANDATORY zone.
|
| 11) |
High School |
Enter the high school of attendance. Please refer to
the preprinted class specific, information at the top
of the page. For enrollees foreign to your district please
contact your TCOVE ROP district contact person. This
is a MANDATORY zone.
|
| 12) |
Ethnic Background |
Mark only one. This is a MANDATORY zone.
|
| 13) |
Special Needs |
Mark as many as necessary. This is a MANDATORY
zone.
|
| 14) |
Referred By |
Mark only one.
|
| 15) |
Class Number |
Enter class number as preprinted on the top of these
instructions. This is a MANDATORY zone.
|
| 16) |
Objective |
Make only one mark.
|
| 17) |
Entry Date |
Enter the first day of attendance as indicated by the
month, day and year. This is a MANDATORY zone. |
