Embedded Files
For each new student, you must submit the following documents:
Shot Records | Birth Certificate | Social Security Card |
& Two Proofs of Residency (ex. utility bills) (phone bills not accepted)
You may submit NOW or at a LATER time. Select the NEXT FORM button to proceed.
**This is the ONLY form in the enrollment process you may skip for now. ALL proceeding forms MUST be filled out & submitted.
To submit now, select the Fill out form button above.
The form will open in a New Tab where you may attach any documents you'd like to submit.
When complete, CLOSE that tab to return to this page. Select the NEXT FORM button to proceed.
**This is the only form in the enrollment process that requires a Google/Gmail account.
The form will open in a New Tab where you may attach any documents you'd like to submit.
When complete, CLOSE that tab to return to this page. Select the NEXT FORM button to proceed.
**This is the only form in the enrollment process that requires a Google/Gmail account.
You may also submit the required documents using any of these options:
- EMAIL to olivera@bauxiteminers.org
- MAIL to 500 Pine Haven Road, Bauxite, AR 72011
- FAX to 501-557-5874
- DROP OFF at PHE Office during school hours
If you have any questions or concerns please call the Pine Haven Elementary Office at (501) 557-5361.
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