Statewide Enrollment Options Form - Minnesota Department Of Education - 2014
Download a blank fillable Statewide Enrollment Options Form - Minnesota Department Of Education - 2014 in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Statewide Enrollment Options Form - Minnesota Department Of Education - 2014 with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2
3
4Revised November 2014
Statewide Enrollment Options Form
Required form for all Minnesota school districts
Section 1: To be completed by the student’s parent/guardian
PARENTS: email, mail or fax this form to the superintendent’s office of the non-resident district where you would like your
student to attend school. Do not mail to the Minnesota Department of Education (MDE). See separate instructions for
important January 15 deadline information that may apply.
Parent/Legal Guardian Information
Last Name:
First Name
MI:_______
Phone: Home: (_____)_____________
Work:(_____)___________
Cell:(____)______________
Street Address:___________________________________ City: ____________________State:_______ZIP:_________
Resident District:__________________________________________________________________________________
District #:________________ City: _____________________________________
District of Choice (Non-Resident School District): _________________________________________________________
District #: ________________ City: _____________________________________
District of Choice Fax Number:( ______)_________________
Student Information
Student Name: Last:
First:
MI:________
Current Grade Level: ______ Grade Level Desired: ______ Desired Date of Enrollment: ______
Is this student currently expelled under Minnesota Statutes, section 121A.45 for a reason listed in Minnesota Statutes,
section 124D.03, Subdivision 1?
Yes
No
Will the student be at least age 5 and under age 21 by September 1 of enrollment year?
Yes
No
When a spot is offered, districts will then request birthdate, records and other required registration information. If you
answered NO to the statement regarding age 5, the student is not eligible for open enrollment unless the student fully
meets the requirements for an exception to the age requirements listed in the Enrollment Options Instructions document.
Yes, this student qualifies under the terms of the exceptions described on page 3 of this form.
Does the student have a sibling open enrolled in this district?
Yes
No
Please rank the schools in the non-resident district in order of preference:
1. _________________________________________________________
2. _________________________________________________________
3. _________________________________________________________
I hereby verify that the above information is true and correct to the best of my knowledge and belief.
Signature of Parent/Legal Guardian: ___________________________________ Date: ___________
1
ADVERTISEMENT
0 votes
Related Articles
Related forms
Optional 200 Day Instructional Calendar Compliance Form - Arizona Department Of Education - 2018
Legal
Education Improvement Scholarships Tax Credits Program Preauthorization Form - Virginia Department Of Education
Legal
Form Deed-522b - Employer's Notice Of Change Form - Minnesota Department Of Employment And Economic Development
Legal
Form Bah - Apprentice Enrollment Application Form - Alaska Department Of Community And Economic Development
Legal
Related Categories
Parent category: Legal