Charter and Non-Public School Annual Services Form Click here for a downloadable version of the Charter and Non-Public School Annual Services Form Student Name(Required) First Middle Last For School Year(Required)2024-20252025-2026Student Birth Date(Required) Month Day Year Student Gender(Required) Male Female Non-Binary Date(Required) Month Day Year School your student will attend next school year(Required)Choose from the listAlbany Community Charter Elementary (K-5)Albany Community Charter Middle School (6-8)Albany Leadership HSAlbany Leadership MSAlbany Academies for Boys/GirlsAll SaintsBrighter Choice Elementary for Boys/GirlsCatholic Central SchoolCBADoane StuartEmma WillardGreen Tech High SchoolHenry Johnson CharterKipp Tech Valley Charter MS (Albany; 5-8)Kipp Tech Valley Primary (Albany; K-4)Kipp Troy Prep Elementary (K-4)Kipp Troy Prep MS (5-8)Kipp Troy Prep High School (9-12)LaSalleLatham Christian AcademyLoudonville Christian AcademyNurses Middle CollegeRobert C ParkerSacred HeartSt. Gregory'sSt. JudeSt. Mary'sSt. PiusSusan ODell Taylor MSSusan ODell ElementaryTech Valley High SchoolWoodland Hill MontessoriOther (Write In)Other (write in)(Required)Has your student been accepted?(Required) Yes No Home Address(Required) Street Address Address Line 2 City ZIP / Postal Code Grade entering next school year(Required)Pre-KKindergarten123456789101112Previous School(Required)Does your student receive Special Education Services(Required) Yes No Language Spoken(Required)Race(Required) Black White Asian American Indian or Alaskan Native Native Hawaiian or other Pacific Islander Is the student Hispanic, Latino or of Spanish origin(Required) Yes No Parent/Guardian Name(Required) First Last Home Phone(Required)Work PhoneCell PhoneEmail(Required) Parent/Guardian Name First Last Home PhoneWork PhoneCell PhoneEmail Transportation Requirements (choose one)(Required) AM Only PM Only AM & PM Walker I will transport my student As the April 1st deadline has passed, please give a detailed explanation below as to why the request is late for Administrative review.(Required)Completion of this form does not guarantee your child will receive transportationDoes your student need to be picked up or dropped off at a location other than home?(Required)STUDENTS MAY BE PICKED UP/DROPPED OFF AT OTHER THAN HOME LOCATIONS WITHIN TCSD BOUNDARIES. EACH PICKUP MUST BE THE SAME ADDRESS FOR ALL FIVE DAYS OF THE WEEK AND BE WITHIN TROY CITY SCHOOL DISTRICT BOUNDARIES Yes (AM & PM) Yes (AM only) Yes (PM only) No, my student will be picked up and dropped off at home. Does your student need to be picked up or dropped off at a location other than home?(Required)STUDENTS MAY BE PICKED UP/DROPPED OFF AT OTHER THAN HOME LOCATIONS WITHIN TCSD BOUNDARIES. EACH PICKUP MUST BE THE SAME ADDRESS FOR ALL FIVE DAYS OF THE WEEK AND BE WITHIN TROY CITY SCHOOL DISTRICT BOUNDARIES Yes (AM only) No, my student will be picked up and dropped off at home. Does your student need to be picked up or dropped off at a location other than home?(Required)STUDENTS MAY BE PICKED UP/DROPPED OFF AT OTHER THAN HOME LOCATIONS WITHIN TCSD BOUNDARIES. EACH PICKUP MUST BE THE SAME ADDRESS FOR ALL FIVE DAYS OF THE WEEK AND BE WITHIN TROY CITY SCHOOL DISTRICT BOUNDARIES Yes (PM only) No, my student will be picked up and dropped off at home. AM Pickup(Required) Street Address Address Line 2 City ZIP / Postal Code PM Dropoff(Required) Street Address Address Line 2 City ZIP / Postal Code Certification(Required)I understand that checking the box below and submitting this form is equivalent to signing a paper form and submitting it to Troy CSD. I have read and understood all of the information provided on this transportation request form. I certify that I am a resident of the Troy City School District and am entitled to transportation services. I understand that this request is required to be turned in by April 1st of each year or within 30 days of establishing residency.CAPTCHACommentsThis field is for validation purposes and should be left unchanged.