The purposes of the Janice Mitchell Isbell Academy (Isbell Academy) are:

(1) Provide educational services for at-risk students.

(2) Accelerate the knowledge, skill, and abilities of the students to at and/or above grade-level expectations.

Enclosed is the following information:

(1) Registration Form

(2) Isbell Academy Fact Sheet

(3) School Calendar

(4) Request for transcript Form

(5) Medication Release Form

The nonrefundable registration fee is $75 and must accompany the registration form. Enclose a copy of the last report card, also. The tuition for the Isbell Academy is $75 per week.

We encourage family involvement in the education of our students. The teachers work closely with the parents/guardians to ensure all is being accomplished to ensure the success of the students.

The Isbell Academy is a non-profit, private, institution of learning. Isbell Academy believes in training the whole student – intellectual, social, spiritual, and physical. Isbell Academy admits students of any race, color, nationality, religion, and ethnic origin. Isbell Academy does not discriminate on the basis of race, religion, color, sex, national or ethnic origin, age, or physical disability in the administration of its educational policies, admission policies, tuition assistance and loan programs, athletic and other school sponsored programs.

If you have any questions, please feel to call me at home (256-859-9758),

cell phone (256-694-9451), EMAIL janice_isbell@hotmail.com, FAX 256-858-3046, or

work (256-313-4216). We are here to serve you and the students.

Sincerely,

Janice Mitchell Isbell

Founder, Isbell Academy

 

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REGISTRATION FORM

SS#___-___-___STUDENT’S NAME______________________________GRADE_________

Last First Middle

ADDRESS___________________________________________ZIP_____PHONE:(___)______

Student Lives With: ___Both Parents ___Mother ___Father ___Stepmother ___Stepfather ___Grandparents ___Foster Parents ___Other (Please Specify) _____________________________

Racial/Ethnic Category: ___White ___Black ___Hispanic ___Asian/Pacific Islander ___Indian/Alaskan Native ___Other (Please Specify) _____________________________

U.S. Citizen? ____Yes ____No

Sex: ___Male ___Female Date of Birth: ___/___/___ Place of Birth ___________________

Special Education ___Yes ___No

Previous School Attended _____________________________________________________________________________________

Name Address City State Zip Phone

Mother/Guardian’s Name: _____________________________________________________________

Last First Middle

Work Phone: Home Phone: ________________ Cell Phone: ______

Address: _______________________________________________________________Zip___________

Email Address(es):

Occupation: __________________________ Employer: _______________________________________

Father/Guardian’s Name: _____________________________________________

Last First Middle

Work Phone: Home Phone: ________________ Cell Phone: ______

Address: _______________________________________________________________Zip___________

Email Address(es):

Occupation: __________________________ Employer: _______________________________________

 

 

 

 

A current Alabama Certificate of Immunization (IMM-50) is required for all students enrolled in the Janice Mitchell Isbell Academy.  Check which immunization applies:

___Regular ___Medical ___Religious ___Temporary ___2^nd Measles

 

EMERGENCY CONTACTS (If parents cannot be reached)

 

Name_______________________________________ Relationship________________________

 

Phone #__________________

 

Name_______________________________________ Relationship________________________

 

Phone #__________________

 

Name_______________________________________ Relationship________________________

 

Phone #__________________

 

Name and Phone Number of Family Physician _____________________________________________________________________________________

 

Does the student have any known allergies or acute illnesses such as diabetics, epilepsy, asthma, etc.? ___Yes (Explain) ___No

_____________________________________________________________________________________

 

Does the student have any physical restrictions: ___Yes (Explain) ___No

_____________________________________________________________________________________

 

Does the Isbell Academy have permission to take your child to the nearest clinic for Emergency Treatment?  ___Yes ___No

 

 

Parent/Guardian Signature ___________________________________________   Date_______________

 

  

 

                                                                        Teacher:  _______________________

                                                                        Entry Date:  _____________________

                                                                        School Year:  ____________________

                                                                        Transcript from Previous School _____

                                                                        Test Scores from Previous School ___

 

JMIA Form 1 June 2001  

 

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Name of Student___________________________________________________________________________________

SSN GRADE D.O.B. (mm/dd/yyyy)____________________________________________________________________

Name of School ____________________________________________________________________________________

Address_____________________________________________________________________________

Parent’s/Guardian’s Name(s)________________________________________________________________________

Last Date of Attendance______________________________________________________________

 

A. REQUEST

Request by Janice Mitchell Isbell Academy for Release of the following records:

All permanent records, test results, health records, special education records, (if any), and all other records.

Purpose: (If request is made by other than parent/eligible student) Establishing academic records for student who is enrolled at the Isbell Academy.

If a third party, I understand that this information must not be disclosed to any other party without the prior written consent of the parent of the student or the eligible student; except, that which is disclosed to an institution, agency or organization many be used by its officers, employees and agents, but only for the purpose stated above.

 

Signature:

Title:

 

B. PERMISSION Required when disclosure is made to a third party.

I hereby give my permission for the disclosure of records as requested above.

 

Signature: ___________________________________________ Date: _________________

 

 

 

 

 

 

JMIA FORM 4, 7 AUG 2001

 

 

 

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Student’s Name:________________________________Birthdate:__________________

Parents’/Guardian’s Name:__________________________________________________

Address:______________________________________Home Phone #_______________

City:__________________________________ Parent Work Phone #_______________

Doctor’s Name:________________________________ Office Phone #_______________

Doctor’s Address:_____________________________________Fax # _______________

Type of Illness:___________________________________________________________

Name of Medication:__________________________________

Type:________________________________________________(Tablet, liquid, MDI, etc.)

Possible Side Effects:______________________________________________________

Dosage:_________________________ Time(s) to be administered:_________________

(mg., puffs, etc.)

______________________________________________________Date:_____________

Physician’s Signature

I hereby permit the Janice Mitchell Isbell Academy, or representatives thereof,

to administer my child the above named medication, in the dosage, and at the time(s) indicated.

______________________________________________________Date:_____________

Parent’s Signature

 

 

JMIA FORM 3, 7 August 2001

 

 

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2009-2010
SCHOOL CALENDAR

August 4th (Tuesday) Teacher In-Service

August 5th (Wednesday)  Teacher In-Service

August 6th (Thursday) Teacher Institute

August 7th (Friday) Teacher Work Day

August 10th (Monday) First Day of School (Students)

September 7th (Monday) Labor Day

FALL BREAK:  OCTOBER 5TH – 9th (1 week prior to 9 week end) 

October 26th (Monday) Parenting Day Activities (Full day of school)

November 11th (Wednesday) Veterans Day Holiday

November 25th, 26th, 27th (Wed.- Fri.) Thanksgiving Holiday (3 days)

December 22nd (Tuesday) End of First Semester (Full day Teachers & Students)

Winter Break Students: DECEMBER 23rd – JANUARY 5th
Winter Break Teachers: DECEMBER 23rd – JANUARY 4th  

January 5th (Tuesday) Teacher Work Day

January 6th (Wednesday) Students Return to School

January 18th (Monday) Martin Luther King, Jr. Holiday

February 12th (Friday) Teacher In-Service (No Students)

February 15th (Monday) President’s Day Holiday

SPRING BREAK:  MARCH 15TH – MARCH 19th (9wk end) 

May 26th (Wednesday) Last Student Day (Full day Teachers/Students)

May 27th & 28th (Thursday & Friday) Graduation

May 27th (Thursday) Teacher Work Day

87 Days – 1st Semester
93 Days – 2nd Semester
180 Student Days

*This calendar does not include a weather day.  If additional days are lost due to inclement weather, the calendar will be extended at the end of May.