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GREENFIELD EXEMPTED VILLAGE SCHOOL DISTRICT INTER-DISTRICT OPEN ENROLLMENT APPLICATION 2021-2022
This form is to apply for attendance in GEVSD while living in another district.
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* Indicates required question
Email
*
Your email
Student's full first name:
*
Your answer
Student's full middle name:
*
Your answer
Student's last name:
*
Your answer
Student's date of birth:
*
MM
/
DD
/
YYYY
Name of parent/guardian:
*
Your answer
Street address of parent/guardian:
*
Your answer
City, state and zip code of parent/guardian:
*
Your answer
Phone number of parent/guardian:
*
Your answer
Present school district of residence:
*
Your answer
School building presently attending:
*
Your answer
Grade level of student for upcoming year (2021-2022)
*
Preschool
Kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12 grade
Is student enrolled in any special education or tutorial program?
*
Yes
No
If yes, please explain:
*
Your answer
Name of school district requested:
*
Your answer
Name of building requested:
*
Buckskin Elementary
Greenfield Elementary
Rainsboro Elementary
Greenfield Middle School
McClain High School
If you need specific high school courses, list desired classes:
*
Your answer
Has the student been suspended (10) or more days or expelled during this or previous semester:
*
Yes
No
Name of parent/guardian submitting this form (***disclaimer name submitted is used as signature on this form)
*
Your answer
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