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New Jersey State Department of Education Nonpublic School Student Application for Chapter 193 Supplemental Instruction (Form 4071)School Year: 2023/2024This application form is for the parent/guardian
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01
Obtain the form from the designated authority or download it online.
02
Read the instructions carefully to understand the information required.
03
Fill in the personal details of the parent/guardian, including name, address, and contact information.
04
Provide necessary information about the child, such as their name, age, and school.
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Complete any sections related to emergency contacts or medical information.
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Review the form for completeness and accuracy.
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Sign and date the form where required.
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Submit the form to the appropriate office or online platform as instructed.

Who needs form parent guardian?

01
Parents or guardians of children enrolling in a school or program.
02
Guardians assuming responsibility for a child’s health or well-being.
03
Individuals acting as guardians for legal, medical, or educational purposes.
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Form Parent Guardian is a legal document used to designate a guardian for a minor child in the event that the parents are unable to fulfill their parental responsibilities.
Parents or legal guardians of a minor child are required to file Form Parent Guardian to ensure that a designated individual is granted authority to care for their child in their absence.
To fill out Form Parent Guardian, one must provide the child's information, details of the proposed guardian, signatures of the parents or legal guardians, and any necessary witnesses as required by local law.
The purpose of Form Parent Guardian is to appoint a temporary guardian for a minor and to provide legal authority for the guardian to make decisions regarding the child's welfare if the parents are unavailable.
Information that must be reported includes the names and addresses of the parents, the name and address of the proposed guardian, the child's information, and any specific instructions regarding the care of the child.
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