Internet Use Form
Medication Form
• Immunization/shot record – required by RI law: 5 doses of DPT; 4 doses of OPV; 2 doses of MMR
Grades 9 & 10 - 3 HEP B shots & proof of having had Chicken Pox Disease or Varciella Vaccine
• A copy of a recent physical exam is required - (12 months before to 6 months after school entry)
• Photocopy of cumulative record (If not presented scheduling will be delayed)
• Teacher letters of recommendations for advance placement courses or special courses
• Information of grading system from previous high schools attended:
1. letter grade
breakdown
2. numerical equivalent
• Course outline book
from previous school/s (for course comparison)
Proof of immunizations must be provided before
registration can be complete. Students will not be
allowed to attend Rogers until this documentation
has been provided.
Every entering or transfer student must present
documentation of a physical exam by a medical
examiner to Health Services. Accepted are new or
recent physical exams, including seventh grade
physicals, and sports physicals that are less than
one year old.
(Newport Community Health Center, 19 Broadway,
provides services with payments adjusted on a
sliding scale based on income.)
Change of Address Form
Documentation
Transportation Form





