JROTC Interest for Out of District Students

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This application is for OUT OF DISTRICT students applying to attend the Austintown Local School District JROTC Program.

Please submit one form per student.

No student shall be denied admission to the Austintown Local Schools or to a particular course or instructional program or otherwise discriminated against for reasons of race, color, national origin, sex, disability, or any other basis if unlawful discrimination.

You will be notified by our registration office after this application has been completed.

PARENT/STUDENT IS RESPONSIBLE FOR TRANSPORTATION.

Thank you.

Email *

Student First Name *

Student Middle Name *

Student Last Name *

Student Date of Birth *

YYYY

What grade will the student be in the 2021-2022 school year? *

Home Address *

City *

State *

Zip *

Primary Contact Number *

Is this student interested in the Junior ROTC program at Fitch High School (grades 9-12)? *

Yes

Is your student receiving special services and is on an Individual Education Plan (IEP)? *

Yes

Does your student have a 504 Accommodation Plan? *

Yes

Has student been suspended/expelled for 10 consecutive days in the 2020-2021 school year? *

Yes

Name of school district in which you reside outside of the Austintown Local School District. *

Relationship to Student *

Mother

Father

Grandparent

Step-father

Step-mother

Guardian

Other

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