3010F1 Open Enrollment Application Form

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