EF6 – Student IEP/504 Plan Form EF6 – Student IEP/504 Plan Form SY 19-20 ALL students (new & returning) enrolling to The Children's Guild DC Public Charter School (TCGDC) must submit this form by April 30, 2019. Providing this information will allow TCGDC to connect families to our Special Education Team. Student InformationStudent Name* First Name Middle Name Last Name New or Returning Student*New StudentReturning StudentIs this student new or returning to TCGDC?Grade Level for the 2018-2019 school year. Please choose one.*PK4KG1st2nd3rd4th5th6th7th8thSchool Last AttendedIf no school, enter N/ACity and State of Last School AttendedType of SchoolCharterPublicPrivateNoneOtherGrade Level for the 2019-2020 school year. Please choose one.*KG1st2nd3rd4th5th6th7th8thN/AFor students new to The Children's Guild, please indicate whether or not your child has a current IEP (Individualized Education Plan)?*YesNoIf yes, IEP review date Date Format: MM slash DD slash YYYY Please indicate whether or not your child has a current Section 504 Accommodation Plan*YesNoSignature, Date, and Certification of AccuracyTCG agrees that the data/information provided in the Student Enrollment Form remain confidential and shall only be used for legitimate TCG business.I completed this form and I certify that the information above is accurate. I understand that providing false information for purposes of defrauding the government is punishable by law. Information provided on this form should be applied consistently throughout enrollment documentation.*Typed name acts as the signature of the Parent/Guardian with whom the student livesPerson Completing This Form Is*MotherFatherGuardianSubmission Date* Date Format: MM slash DD slash YYYY PhoneThis field is for validation purposes and should be left unchanged. For more information about EF6 – Student IEP/504 Plan Form please contact us.