Out-of-District Student Enrollment Request Form
The Out-of-District Student Enrollment Request Form must be completed (one per student) for consideration for enrollment in the Evergreen School District for the 2024-2025 school year. This Request Form is for attendance at East Evergreen Elementary School or Evergreen Junior High School. This form is not to be used or applicable for the Evergreen Crossroads Program. Once this completed form is received, you will receive an email notification informing you of the date of the Board of Trustees meeting when your request will be considered; you are invited to attend that board meeting if you would like. After the Board of Trustees has taken action on your request, you will receive an email notification of the decision of the Board and any necessary next steps. Completion of this form does not constitute enrollment in or agreement to enroll in the Evergreen School District. You must complete one form for each student you are requesting to enroll.
Email *
Student Name (last, first, and middle initial as listed on the birth certificate)

 *
Student Date of Birth *
MM
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DD
/
YYYY
Student Physical Address (where the student currently resides including the house number, street name, city, and state) *
Parent/Guardian Phone Number *
Parent/Guardian Name (last, first, middle initial) Completing This Request Form *
Parent/Guardian Email Address
 *
Student Grade Level for 2024-2025 School Year *
Does the student have an IEP (Individualized Education Plan)? *
Required
What school does the student currently attend or did the student last attend? List the name and address of the school. *
List any other school(s) the student has attended in the past three years. List the name(s) and address(es) of the school(s). Leave this question blank if there are no other schools than the one listed in the previous question.
A copy of your responses will be emailed to .
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