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PH: (810)
591-0980 FAX: (810) 591-5587 Non-Resident Student Enrollment Form |
DATE:
We wish to enroll the following pupil(s) in Linden Community Schools:
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Pupil(s) Name: |
Birth Date |
Grade |
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Address: |
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Phone Number: |
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Signature of Person Requesting Enrollment |
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Relationship to Pupil(s) |
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This pupil meets our district’s criteria for nonresident enrollment, as follows:
Home under construction in district, with a planned completion date of
______ Family purchasing a home in the district, with a scheduled move in date of
______ Pupil completing current school year.
Pupil completing senior year.
Other
WITHIN THE LAST TWO
YEARS:
Has the student(s) been suspended? Yes No
(If Yes, Provide Date: Reason:
Has the student(s) been Expelled? Yes No
(If Yes, Provide Date: Reason:
Has student Withdrawn from School? Yes No
(If Yes, Provide Date: Reason:
Payment of tuition
fees and transportation shall be the sole responsibility of the pupil’s family.
In
accordance with Section 6(6) of the State School Aid Act, approval from the
pupil's district of residence is required in order for our district to claim
state aid reimbursement. Please complete
the section below and return this memo to:
Thank
you for your cooperation.
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TO BE COMPLETED BY
DISTRICT OF RESIDENCE r Approved r Not Approved
Title of Authorized Authorized Representative’s Signature Representative Date |
