To apply for enrollment with  Charter School, please submit an enrollment application, with the required documents, using one of the forms below.

We begin accepting applications:

• • January 1st for 1st Semester/Fall
  • First day of school for 2nd Semester/Spring.  See the school calendar for first day of school which is typically in August.

Some of the  files below are in Adobe Acrobat PDF format.  If you have trouble opening the file or the file opens blank, please try these  PDF troubleshooting tips from Adobe.

Enrollment Application

• Online Enrollment
• Paper Form Enrollment (English)
• Paper Form Enrollment (Spanish)

The submission of an enrollment application does not constitute enrollment. Do not disenroll from your current school until you have met with an Education Specialist and signed a Student Agreement.

Forms necessary to complete an application  

Required Forms

• • • Birth Certificate (copy only) – All Students
      • Other acceptable forms include, but are not limited to U.S. or foreign birth certificates
      • adoption records
      • passports
      • baptismal records
      • previous school records
      • other forms of U.S. or foreign government-issued identification
      • affidavits from a parent/guardian or pediatrician
    • Immunization record (copy only) – All students.  In accordance with Senate Bill 277, please submit record of any immunizations received.  Records will be accepted whether complete or incomplete.
    • Health Exam for School Entry – TK, Kindergarten and 1st grade students
    • Oral Health Exam – TK, Kindergarten and 1st grade students who are entering a CA public school for the first time  

Required Forms (if applicable)

• • • Unofficial Transcript – High School Students.  If you have a homeschool transcript, see our transcript template instructions.
    • Caregiver Authorization Affidavit - If person enrolling student is not the parent or legal guardian
    • 504 Plan (if drafted)

Special Education Documents (if applicable)

• • • Individualized Education Plan (IEP) - Most recent, whether active or inactive
    • Or, if no IEP, a copy of all assessment reports

Submittal and Questions

You can submit your completed enrollment packet using one of the following methods:

MAIL:

IEM
4535 Missouri Flat Road, Ste. 1A
Placerville, CA 95667

EMAIL: enrollment@ieminc.org

FAX: (530) 295-3583

If you have questions about the application process please call Parent Support at 1-800-979-4436 or email 

Covered California

Informational ONLY; enrollment application packets do not require health insurance documentation.

Covered California Flyer

Covered California FAQs

County Enrollment Assistance Resource Information for Covered California and Medi-Cal