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2021-2022 LVUSD Outgoing Interdistrict Application
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* Indicates required question
Contact Information
Your Email Address
*
Your answer
Student Information
Student's First Name
*
Your answer
Student's Middle Name
Your answer
Student's Last Name
*
Your answer
Current Grade Level
*
(for attendance year 2020-21)
Choose
Preschool
0 Transitional Kindergarten
0 Kindergarten
1
2
3
4
5
6
7
8
9
10
11
12
Next Grade Level
*
(for attendance year 2021-22)
Choose
0 Transitional Kindergarten
0 Kindergarten
1
2
3
4
5
6
7
8
9
10
11
12
Birth Date
*
(Student's birth date)
MM
/
DD
/
YYYY
Home Address
*
Your answer
Home City
*
Your answer
Home Zip
*
Your answer
IEP/504
*
Has this student ever had or does this student have an Individualized Education Plan (IEP) or 504 plan?
Yes
No
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