Intent To Enroll - Empower Generations
Hello and thank you for your interest in Empower Generations! We know you have many choices for learning and we are thankful you found our program. We are excited for you to start your journey to becoming a member of the Empower Generations family.

First, please submit this form so that we can add you to our intent to enroll list. Once that is complete, you will receive correspondence from one of our outstanding office personnel who will help you get connected. To connect with us right away, message us on social media (Facebook and Instagram), visit our website (empowergenerations.org), or contact the office manager (roselia.calderon@empowergenerations.org).
 
Can't wait for you to join our village!
Email *
Which school year are you registering for? *
Today's Date: *
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Student's Full Name: *
Student's Date of Birth *
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Grade in Fall 2024: *
Gender: *
School currently attending: *
School District of residence: *
Are any siblings already attending Empower Generations? *
Names and grades of additional siblings:
Are you a pregnant or parenting?
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Has your child ever been expelled from any school? *
If yes, from what school:
Parent #1/ Guardian Name: *
Parent #2/ Guardian Name:
Contact Phone Number *
Mailing address *
City: *
State: *
Zip Code: *
How did you hear about Empower Generations? *
Are you interested in participating in one of our CTE pathways? 
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We highly recommend that you take a tour of Empower Generations. Have you taken a tour? *
Charter School Enrollment Rights California Education Code Requirements California Education Code (EC) Section 47605(d)(4) (https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?sectionNum=47605&lawCode=EDC) states the following: A charter school shall not discourage a pupil from enrolling or seeking to enroll in a charter school for any reason, including, but not limited to, academic performance of the pupil or because the pupil exhibits any of the following characteristics:Academically low-achieving, Economically disadvantaged (determined by eligibility for any free or reduced-price meal program), English learner, Ethnicity, Foster youth, Homeless, Nationality, Neglected or delinquent, Race, Sexual orientation, Pupils with disabilities. A charter school shall not request a pupil's records or require the parent, guardian, or pupil to submit the pupil's records to the charter school before enrollment. A charter school shall not encourage a pupil currently attending the charter school to dis-enroll from the charter school or transfer to another school for any reason (except for suspension or expulsion).This notice shall be posted on a charter school's Internet website and a charter school will provide copies of this notice (1) when a parent, guardian, or pupil inquiries about enrollment; (2) before conducting an enrollment lottery, and (3) before disenrollment of a pupil. Procedures for Complaint In order to submit a complaint, complete the Charter School Complaint Form (https://www.cde.ca.gov/sp/ch/cscomplaint.asp) and submit the form to the charter school authorizer, electronically or in hard copy, to the following location: Acton Agua Dulce Unified School District, 32248 Crown Valley Rd , Acton, CA, 93510 *
Required
We are required by law to provide you with a notice about Charter School Enrollment Rights & Complaint form (California Education Code (EC) Section 47605(d)(4)). Please sign below to acknowledge receipt of the following notice and certify that the information given above is true and correct to the best of your knowledge.                                                                            Please type full name below if you understand. *
A copy of your responses will be emailed to the address you provided.
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