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2023 - 2024 (Middle School) Online School Choice Form

Please complete the form below. Required fields marked with an asterisk *

Parent/Guardian's Name*

Answer Required

Home Phone*

Number Required

Cell Phone

Number Required

Parent/Guardian Email Address

Answer Required

Student Name*

Answer Required

Current School*

Answer Required

Student Home Address*

Answer Required

City/State*

Answer Required

Zip/Postal*

Answer Required

2023 - 2024 Assigned Zoned School*

Answer Required

Grade for 2023 - 2024*

Answer Required

Requested School of Choice for 2023 - 2024*

Answer Required

Reason for Request*

Answer Required

Brother/Sister has previously been approved for choice at requested school and will attend requested school in 2023 - 2024

Requested school is closer to parent’s work

Requested school is closer to student’s child/daycare facility

Requested school is closer to a school that a brother or sister attends

Other:

If your reason for request is that a brother/sister has previously been approved for choice at requested school and will attend request school in 2023 - 2024, please list the sibling's name.

Answer Required

If you chose other, please specify why you are requesting school choice.

Answer Required

Confirmation Email

Email Required