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Lincoln School District Proof of Residency for 7-12 Choice School Requests
This form is required to prove residency in Lincoln for purposes of attending a grades 7-12 choice school. Please complete this form for each student.
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* Indicates required question
Email
*
Your email
Student's Full Legal Name:
*
Your answer
Date (date of form completion):
*
MM
/
DD
/
YYYY
Mailing Address:
*
Your answer
Physical Address (if different from Mailing Address)
Your answer
Race/Ethnicity: Select all that apply
*
Choose
White
Black/African-American
Asian
American Indian/Alaska Native
Native Hawaiian/Pacific Islander
Is the student Hispanic or Latino
*
Choose
Yes
No
Primary Language Spoken at Home:
*
Your answer
Name of last school attended:
*
Your answer
Birthdate:
*
MM
/
DD
/
YYYY
Current Grade (at time of completing this form):
*
Choose
K
1
2
3
4
5
6
7
8
9
10
11
Does the student receive any special services from the State of Vermont? Please list requirements:
*
Your answer
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