Defiance City Schools 2024-2025 Interdistrict Open Enrollment Application
A separate application is require for each student
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Email *
Student's First Name *
Student's Middle Name

 *
Student's Last Name *
Student's Street Address *
City/State/Zip *
District of Residence *
Student's Date of Birth *
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Sex *
Grade Level for the 2024-2025 School Year: *
Ethnicity (Check all that apply) *
Required
Native Language if other than English
Social Security Number
Custody (Who the student lives with) *
Custody/Court Papers Required: *
Parent First Name *
Parent Last Name *
Parent's Street Address *
Parent City/State/Zip *
Parent Phone Number *
Parent Email *
Parent 2 First Name
Parent 2 Last Name
Parent 2 Street Address
Parent 2 City/State/Zip
Parent 2 Phone Number
Parent 2 Email
If your child is on an IEP what is their disability?
Has your child been suspended/expelled from ANY school district for ten consecutive days or more? *
Please list any siblings that are also applying for open enrollment:
Why have you chosen Defiance City Schools to educate your child? *
Parent/Guardian Signature *
Date *
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