Forms Portal

Registration Office

195 Blackberry Road

Phone: 315.622.7193

Fax: 315.622.7195

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www.liverpool.k12.ny.us

STUDENT RECORDS REQUEST

The following student has registered in our school district:

Name and Address of Previous School:

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Please EMAIL (preferred), fax or mail the following records to the selected  building below:

* Transcript of Grades                          * Health Records                          * Academic Assessments                        *Discipline

 

* Current Report Cards                        * Custody                                      * ENL-NYSESLAT/NYSITELL            * Attendance

* Withdrawal Grades                           * IEP/504                                       * Lab hours for all Lab Sciences

200 Saslon Park Drive

Liverpool, NY 13088

Phone: 315.453.0242

Fax:      315.453.0283

Email: recreqche@liverpool.k12.ny.us

299 Donlin Drive

Liverpool, NY 13088

Phone: 315.453.0249

Fax:     315.453.0253

Email:  recreqdde@liverpool.k12.ny.us

350 Woods Path Road

Liverpool, NY 13090

Phone: 315.453.0252

Fax:     315.453.0258

Email:  recreqee@liverpool.k12.ny.us 

910 Second Street

Liverpool, NY 13088

Phone: 315.453.0254

Fax:     315.453.0286

Email:  recreqle@liverpool.k12.ny.us

 

4035 Long Branch Road

Liverpool, NY 13090

Phone:  315.453.0261

Fax:      315.453.0269

Email:  recreqlbe@liverpool.k12.ny.us  

7795 Morgan Road

Liverpool, NY 13090

Phone:  315.453.1268

Fax:      315.453.1287

Email:   recreqmre@liverpool.k12.ny.us

 

7053 Buckley Road

Liverpool, NY 13088

Phone:  315.453.0272

Fax:      315.453.0275

Email:   recreqnpe@liverpool.k12.ny.us

8338 Soule Road

Liverpool, NY 13090

Phone:  315.453.1280

Fax:      315.453.1260

Email:  recreqsre@liverpool.k12.ny.us

 

3900 Route 31

Liverpool, NY 13090

Phone:  315.453.1196

Fax:      315.453.1255

Email:  recreqwfe@liverpool.k12.ny.us

 

Counseling Center

204 Saslon Park Drive

Liverpool, NY 13088

Phone:  315.453.0247

Fax:      315.453.0278

Email:   recreqchm@liverpool.k12.ny.us

Counseling Center

720 Seventh Street

Liverpool, NY 13088

Phone:  315.453.0258

Fax:      315.453.0248

Email:  recreqlms@liverpool.k12.ny.us

Counseling Center

8340 Soule Road

Liverpool, NY 13090

Phone:  315.453.1283

Fax:      315.453.1286

Email:  recreqsrm@liverpool.k12.ny.us

Counseling Center

4340 Wetzel Road

Liverpool, NY 13090

Phone:  315.453.1275

Fax:      315.453.1247

Email:  recreqlhx@liverpool.k12.ny.us

Counseling Center/Records Office

4338 Wetzel Road

Liverpool, NY 13090

Phone:  315.453.1288

Fax:      315.453.1144

Email:  recreqlhs@liverpool.k12.ny.us

Room 29

195 Blackberry Road

Liverpool, NY 13090

Phone:  315.622.7193

Fax:      315.622.7195

Email:  registration@liverpool.k12.ny.us

Room 28

195 Blackberry Road

Liverpool, NY 13090

Phone:  315.622.7141

Fax:      315.622.7144

Email:   ivasilev@liverpool.k12.ny.us

 

In compliance with the Family Educational Rights and Privacy Act (Buckley Act) Final Regulation on Educational Records, it is no longer necessary to obtain Parental Permission to release academic records and health records when requested by Authorized School Personnel. 

Current Signature
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Parent/Guardian Signature

HOME LANGUAGE QUESTIONNAIRE (HLQ)

In order to provide your child with the best possible education, we need to determine how well they understand, speak, read and write in English.        

ACKNOWLEDGEMENT

Language Background  (Please check all that apply)

 

What language(s) is(are) spoken in the student's home or residence?

What was the first language your child learned?

What is the Home Language of each parent/guardian?

Mother

Father

Guardian

What language(s) does your child understand?

What language(s) does your child speak?

What language(s) does your child read?

What language(s) does your child write?

Indicate the total number of years that your child has been enrolled in school, beginning with Kindergarten:

Does your child  have any difficulties or conditions that affect his or her ability to understand, speak, read or write the language spoken in the home?

You answered Yes or Not Sure - please explain below:

How severe do you think those difficulties are?

Has your child ever been referred for a special education evaluation in the past?

If referred for an evaluation, has your child ever received any special education services in the past?

You answered yes, please complete next few questions:

Type of services received:

Early Intervention           Special Education       Special Education

If there anything else you think is important for the school to know about your child, please indicate below:

In which language(s) would you like to receive information from the school?

OFFICIAL ENTRY ONLY

Qualified Personnel Reviewing HLQ:

Qualified Personnel Administering NYSITELL:

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ACTIVE DUTY MILITARY PERSONNEL
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MIGRATORY AGRICULTURAL WORKER
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STUDENT RESIDENCY QUESTIONNAIRE

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You indicated Other - Please call 315-622-7193

This questionnaire is intended to address the McKinney-Vento Act 42 U.S.C. 11435. By completing this form, you are providing residency information that will help determine the services your child(ren) may be able to receive.

You answered YES, Please complete the remaining questions below:

HOUSING

3) Unaccompanied youth ? 

A student is a migrant child if the student is, or whose parent, guardian, or spouse is, a migratory agricultural worker, including a migratory worker or a migratory fisher, and who, in the preceding 36 months, in order to obtain, or accompany such parent, guardian, or spouse, in order to obtain temporary or seasonal employment in agricultural or fishing work has moved from one school district to another.

ACKNOWLEDGEMENT
Current Signature

Parent/Guardian Signature

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if  Other, Specify Language(s)

Educational History