2016 California Gold Ribbon School

2014 California Distinguished School

2008 California Distinguished School

Caring & Professional Staff

High Academic Standards and Results

Positive & Safe Environment

175-190 Enrollment for TK – 8th

Small Class Sizes, Class Size Reduction TK – 3rd

Full Day Kindergarten & Transitional Kindergarten

8th Grade Students Eligible to Participate in High School’s FFA Program

Sports Program for 6th – 8th

Before & After School Childcare

FAMILIES WILL NOT BE NOTIFIED ABOUT PROVISIONAL ACCEPTANCE UNTIL AFTER JUNE 10, 2017

PleasantGroveSchool is located in south Sutter and SouthwesternPlacerCounties, about 10 miles from Elverta, Rio Linda, Lincoln, Rocklin, Roseville, and PlumasLake.

Pleasant GroveJointUnionSchool District

3075 Howsley Rd.

Pleasant Grove, CA95668

(916)655-3235 ✹Fax (916)655-3501

SCREENING APPLICATION FOR INTERDISTRICT ATTENDANCE

STUDENT’S NAME______DOB______2017/18Grade ____

Physical Address ______

______

Mailing Address (if different) ______

______

Parent/Guardian Name (Mother)______(Father) ______

Father – Home Phone ______Work Phone ______

Mother – Home Phone ______Work Phone ______

Father – Place of Employment ______

Mother – Place of Employment ______

Student’s Present School Site ______

School Phone No. ______Current Grade ______

Is student currently or within the last 2 years been under an expulsion order?

Yes _____ No _____

Special Education Services – Current: Yes _____ No _____

Previous: Yes _____ No _____

As the Parent/Guardian, why do you want your child to attend Pleasant Grove

School? ______

______

As a student, why do you want to attend Pleasant Grove School? ______

______

______

______

Parent/Guardian Signature ______

Student Signature ______

THE BOARD APPROVED CRITERIA FOR INTERDISTRICT ACCEPTANCE INCLUDES THE FOLLOWING:

Excellent Attendance

Good Academic Standing (2.0 Minimum)

Clear Discipline Record

Before an inter-district application may be processed, the following must accompany this form (all information must be current):

_____ Current Year’s Report Card

_____ Most Current SBAC Test Results

_____ Attendance Record

_____ Discipline Report and/or Letter of

Recommendation from the Principal or

Vice-Principal