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STUDENTS <br />3010F1 <br />Page 2 of 2 <br /> <br />Bonneville Joint School District No. 93 <br />Revised August 2014 <br /> <br />_________________________________________________________________________________________ <br />_________________________________________________________________________________________ <br /> <br /> <br />7. Special and/or unique instructional programs in which the applicant student expects to enroll in at the new <br />school. ___________________________________________________________________________________ <br />_________________________________________________________________________________________ <br /> <br />8. Extra-curricular activities in which the applicant wishes to participate. __________________________________ <br />_________________________________________________________________________________________ <br /> <br />9. Transportation arrangements that will be made by the parent/guardian. _________________________________ <br /> <br />Parent/Guardian’s Name: ________________________________________________________________________ <br />Parent/Guardian’s Address: ________________________________________________________________ <br /> ________________________________________________________________ <br />Home Phone: _________________________ Work Phone: _____________________________ <br /> Message Phone: _______________________ Work Phone: _____________________________ <br /> <br /> <br />I have read the Bonneville Joint School District’s policy and procedure on open enrollment, and hereby requ est that <br /> <br />my son/daughter be permitted to attend _____________________________________________________________ <br /> (Name of Proposed Receiving School) <br /> <br />Parent/guardian’s Signature: ______________________________________________________________________ <br /> <br />Misrepresentation of information on this application may result in revocation of the <br />applicant’s approval to attend a Bonneville School District school. <br /> <br />SIGNATURES <br />□ Program Manager___________________________________________________________________________ <br /> <br />□ Approved □ Disapproved Date: ___________________ <br /> <br />□ In-District Transfer: ____________________________________________________ (Home School Principal) <br /> <br /> _________________________________________________ (Receiving School Principal) <br /> <br />□ Approved □ Disapproved Date: ________________ <br /> <br />□ Out-of-District Transfer: ______________________________________________ (Receiving School Principal) <br /> <br />□ Approved □ Disapproved Date: __________________ <br /> <br /> <br /> □ Approved □ Disapproved Date: ___________________ <br /> <br />Superintendent/designee’s Signature: ___________________________________________________________ <br /> <br />Within 60 days following action on the application, copies must be sent to Parents/guardians, Building Principal, and for out -of <br />district applicants, the superintendent of the applicant’s home district. If the application is denied, a written explanation for the <br />denial must be attached.