Clay Open Enrollment Application
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- Application -
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Was this student open enrolled at Clay during the 2022-2023 school year? *
If no, what school did student attend last year?
Student's first name: *
Student's middle name: *
Student's last name *
Student's social security number: *
Student's date of birth: *
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Parent/Guardian first name: *
Parent/Guardian last name: *
Street address: *
City: *
Phone number: *
Email address: *
Present school district of residence: *
School building presently attending: *
Grade level for the 2023-2024 school year: *
List all specific high school courses being requested:
(If any.)
Is the student enrolled in any special education programs, or has the student been evaluated or referred for special education? *
If you answered yes, please explain:
Has the student been suspended or expelled for 10 or more consecutive days during this or the previous semester? *
Requests will be acted upon not later than June 12. Parents must indicate acceptance of transfer on or before June 30 or the application may be voided. Falsification of any of the above information may result in voiding of this application/agreement.
Type your full name to sign digitally: *
Type today's data to sign digitally: *
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