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Student Enrollment Information
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* Indicates required question
Email
*
Your email
School Year Enrolling in
*
Choose
2020-2021
Student First Name
*
Your answer
Student Middle Name
*
Your answer
Student Last Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Gender
*
Male
Female
Required
Grade
*
Your answer
Is this student Hispanic/Latino?
*
Yes
No
Required
Race
*
American Indian/Native Alaskan
Asian
Black or African American
Native Hawaiian or Pacific Islander
White
Required
Does this student receive special programming?
*
Yes
No
Required
Does this student have an IEP in place?
*
Yes
No
Required
Disability Type
*
No Disability
Autism
Emotional/Behavioral Disability
Intellectual Disability
Learning Disability
Speech/Language Disability
504 Plan
Other:
Required
Has this child ever attended the School District of Rhinelander in the past?
*
Yes
No
Required
If yes, name of the school.
Your answer
Name, City and State of last school attended.
Your answer
Is this student attending the School District of Rhinelander under Open Enrollment?
*
Yes
No
Required
If yes, from what school and district?
Your answer
Has this child ever been expelled?
*
Yes
No
Required
If yes, expelled from what school and district?
Your answer
Military Connection - Is either parent or guardian on active duty in the military?
*
Yes
No
Required
Military Connection - Is either parent or guardian a traditional member of the Guard or Reserve?
*
Yes
No
Required
Military Connection - Is either parent or guardian a member of the Active Guard/Reserve (AGR) under Title 10?
*
Yes
No
Required
Military Connection - Is either parent or guardian a full time National Guard member under Title 32?
*
Yes
No
Required
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