Open Enrollment 2023/2024
One (1) enrollment form must be filled out for each student applying.  
Sign in to Google to save your progress. Learn more
Student's First Name *
Student's Last Name *
Date of Birth *
MM
/
DD
/
YYYY
Grade Level applying for *
Home Address *
Parent's First Name *
Parent's Last Name *
Parent's Primary Email Address *
Primary Phone Number *
Check all boxes that apply to student applying for open enrollment. *
Required
Does applying student have sibling(s) attending a Laveen School? *
If yes, Name of School sibling(s) attends. *
If sibling attends a Laveen School, please enter sibling(s) name(s). *
Has applying Student ever attended a Laveen District school? *
If applying student has attended a Laveen District School, please indicate which school. *
If applying student has attended a Laveen School, please indicate school year. *
Is Parent/Guardian Employed by Laveen School District? *
If Parent/Guardian is employed by Laveen School District, please indicate location. *
Has the student ever been retained? *
If student has been retained, please indicate grade level. *
Has applying student ever been suspended from school? *
Has applying student ever been expelled from school? *
Has applying student been considered for expulsion/suspension from school? *
Is applying student in compliance with conditions imposed by a juvenile court? *
If applying for Kindergarten, did student attend Preschool *
If Kindergarten student attended Preschool, please indicate school name.
If applying student is a Kindergartner, what are the student's strengths?
In what area(s) would you want to see growth for your Kindergarten student?
Is applying student certified as having a chronic health problem? *
If student has a chronic health problem, please specify.
Has applying student ever been evaluated by a Psychologist/Psychiatrist? *
If student was evaluated, please indicate where and when.
Has applying student ever had an IEP (Individualized Education Plan)? *
If student had an IEP, please indicate the date.
Does applying student have a current IEP? *
If student has a current IEP, please specify.
Why are you choosing a Laveen school? *
Required
Please tell us how you heard about Laveen school. *
Required
Name of person filling out this form? *
Relationship to applying student. *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Laveen Elementary School District #59. Report Abuse