Fannie Lou Hamer Freedom School

Skip to main content
Placeholder text, please change


Editing previous response:

Please fix the highlighted areas below before submitting.

New Student Enrollment Forms

August 21, 2023


Dear Parents and Guardians:


Welcome to the 2022-23 academic school year! We are looking forward to a wonderful time with your child. 

If you are new to our community and haven't done so yet, please take a minute to answer these new student enrollment questions. The enrollment package is composed of the forms listed below. You also will get a separate mailing with these forms and they will be available in the main office if you prefer to complete them on paper.
  • General Information Form
  • Race and Ethnicity Form
  • Community Service Learning Form
  • Media Consent Form
  • Military Recruitment Opt-Out Form
  • Attendance Text and Email Alert Form

You will be mailed a blue Emergency Contact Card; it must be completed and returned it to your child's advisor. 


You should be receiving a phone call from your child's advisor before school starts to inform you about the opening of school. If you have any questions, please contact our Parent Coordinator, Karina Santos at 718-861-0521.


We are looking forward to the start of the school year and to seeing you soon.




Jeff Palladino



Puede seleccionar su idioma preferido para la encuesta en la parte superior de esta página.

Vous pouvez sélectionner la langue de votre choix pour l’enquête en haut de cette page.
আপনি এই পৃষ্ঠার শীর্ষে জরিপের জন্য আপনার পছন্দসই ভাষা নির্বাচন করতে পারেন।


General Information

Does the student have an Individualized Education Plan for Special Education Services?
Answer Required
Does the student receive English as a New Language (ENL) services?
Answer Required

Parent/Guardian Student Ethnic and Race Identification Form (NYCDoE requirement)

Federal law requires the New York City Department of Education to collect and record the ethnic identity and race of public school students. This information is used to determine funding for your school, among other things, and is kept secure and confidential.

We need your help to accomplish this task. Please respond to the ethnicity and race identification questions below. The first question provides an opportunity for you to indicate whether your child is of Hispanic, Latino, or Spanish origin; the second question provides an opportunity for you to indicate your child's race(s). Please be sure to respond to both questions. Students identified with more than one race will be counted in the "two or more races" category. Hispanic students of all races will be counted in the Hispanic category.

The New York City Department of Education understands the sensitive nature of this process. The options provided by the federal government may not represent an accurate or complete portrayal of your family's own ethnic or race identification. We encourage you to proved responses using your best judgment. If you decline to respond to either question, federal guidelines require New York City Department of Education school staff to make an identification of your child on your behalf. 

The Family Educational Rights and Privacy Act (1974) and the Regulations of the Chancellor A-820 prohibit unauthorized access to student records and unauthorized release of any student record information identifiable by either student name or student identification number.

Race may be considered a factor in school enrollment only where required by court order; gender is a factor only in single-gender schools.

Thank you for your cooperation

Is the student Hispanic, Latino, or of Spanish origin?
Hispanic, Latino, or of Spanish origin means a person of Cuban, Dominican, Mexican, Puerto Rican, Central or South American, or other Spanish culture or origin, regardless of race.
Answer Required
Select one or more races from the following five racial groups.
Answer Required

Community Service Learning

Fannie Lou Hamer Freedom High School has a credit-bearing community Outreach initiative in which all 9th and 10th graders participate. Students work as volunteers once a week at a site in which they learn the value of good work ethics while building a sense of social responsibility. Sites have included but are not limited to nurseries, elementary schools, food pantries, small businesses, community-based organizations, and medical centers.

The program begins in October and ends in June. In September, students attend an orientation and complete “applications” to indicate their site placement preferences, which we try to honor as closely as possible. All sites are in fairly close proximity to our school; students travel to and from their assignments via school bus. Students who are placed within three blocks from the school may easily walk to their site placements.

Please mark your consent belowr. If you have any questions or comments, please contact Ms. Indela Juarbe, community outreach coordinator at (718) 861-0521, ext. #1011.

I give my consent for my child to participate in Community Service Learning
Answer Required

Media Consent

Fannie Lou Hamer Freedom High School students participate in many activities that may be photographed and/or recorded for video. We ask that you grant your persmission for your child to be recorded. No photographs or recordings will be used for profit making purposes.

I consent to the participation in interviews, the use of quotes, and the taking of photographs, audio and/or video recordings of my student.
Answer Required
I grant Fannie Lou Hamer Freedom High School the right to edit, use, and reuse said products for non-profit purposes including use in print, on the internet, and all other forms of media. I hereby release the New York City Department of Education and its agents and employees from all claims, demands, and liabilities whatsoever in connection with the above.
Answer Required

Military Recruiting Opt Out

Please complete this part of the form if you do not consent to the release of your child’s information, name, address, and telephone number, to the military recruiters and institutions of higher education that request the information.

If you do not consent to the disclosure of this information, you must fill out the attached request form, and return it immediately to the school. Please note that the form gives you the option of consenting to the disclosure of student’s information to institutions of higher education but not to military recruiters, and vice versa. If you do not return the form, we will release your child’s information upon request. Thank you for your cooperation.

I am requesting that my student's name, address, telephone number, and email address NOT be shared with:
Answer Required

Attendance Alerts by Text and Email

As you know, school attendance significantly contributes to a student’s academic achievement — students who attend school every day do better than students who miss a significant amount of class time. Working together, we can help students get to school on time and ensure attendance every day


We are happy to remind you that we can provide you with a text or email message informing you when your child arrived at school. The CAAS system, which captures your student’s entry into the building when they swipe their ID card, will email or text you the time your student swipes their card.


If you would like to receive a message alerting you to the time your student arrives at school, please complete this form.


We hope that this will help us get students to school on time and in school every day.

To Receive Texts:

To Receive Emails:

Answer Required

General Questions (optional)

Are there any services needed?
Answer Required