Request for Inter-District Open Enrollment 2023-2024 School Year

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This form is to be used for students who CURRENTLY RESIDE OUTSIDE the Green Local School District - Wayne County. Applications are accepted starting March 1 thru March 31st. ONE APPLICATION PER STUDENT MUST BE COMPLETED. All NEW REQUESTS are reviewed on a first come, first serve basis and are required to forward a copy of Proof of Residency to gren_cknight@tccsa.net and/or current IEP/504 before your application will be considered for approval.

*Please NOTE: ALL Information is for INTERNAL office use only for registration purposes.

THIS IS A: *

NEW REQUEST (for 2023-2024 School Year; NOT currently Open Enrolled)

RENEWAL/CONTINUATION (CURRENT Open Enrolled, wish to continue 2023-2024 School Yr)

PARENT/GUARDIAN EMAIL *

STUDENT FIRST NAME *

STUDENT LAST NAME *

HOME ADDRESS *

CITY *

ZIP CODE *

HAVE YOU MOVED WITHIN THE PAST 12 MONTHS? *

Yes

DATE OF BIRTH *

YYYY

GENDER *

MALE

FEMALE

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