Returning Students Applicant’s Name: Grade Level Applying for: Current School: Reason for Leaving current school: Last Grade-level attended in Southridge: Reason for Leaving Southridge: Does your son have any Learning/Developmental difficulties (ADHD, autism, etc)? YESNO If yes, please attach most recent medical report: Is your son currently taking any medicine for any medical condition? YESNO If yes, what kind of meds and for what condition? Has your son incurred any disciplinary case in his current school? YESNO If yes, specify the offense and the correction made by the school:
