High School Registration Form printable pdf download

School Year:

HIGH SCHOOL REGISTRATION FORM

Official Use Only

___________

SCHL ASSIGNMENT

ST. LUCIE PUBLIC SCHOOLS

4204 OKEECHOBEE ROAD, FORT PIERCE, FL 34947

Tel.

(772) 429-3930

Please complete ONE application per child. If new to the county, you MUST provide all of the following documents to complete

the registration process. Return application to any school or Student Assignment. TWO (2) Proof of address is required

for all applicants. Parent/Guardian’s name and address must be showing on the proof of address. Acceptable proof

include: One (1) Primary and One (1) Secondary or Two (2) Primary Proof of Address. Two (2) secondary proof of

address will not be accepted.

Original Birth Certificate

**Social Security Card (If available)

*Proof of Address

*Proof of address is required for all applicants.

*One of the following documents is required as Primary Proof of address:

1. Current utility bill – within the last 30 days

3. Current mortgage deed

5. Mortgage payment coupon

2. Official rent receipt

4. Signed lease agreement

6. Builder’s Contract (6 month completion)

*ONE of the following documents is required as Secondary Proof of address:

1. Cable bill – within the last 30 days

2. Voter’s Registration

3. Driver’s License

4. Cell Phone

*Full and Complete Move to New Residence. The student moves to a new home address due to a full and complete move by the

student and the persons with whom he/she has been living for at least one calendar year that make it necessary for the student to

attend a different school. A student and his/her parents cannot occupy a residence at more than one address, and only the student’s

current residence may be used for eligibility purposes. Full and Complete Move Defined. The following items are evidence a move is

full and complete:

(a) The former residence is not occupied for any purpose at any time by the student or any of the persons with whom the

student has been living; and

(b) All personal belongings are moved from the former residence; and

(d) All utilities are transferred to the new residence; and

(e) Driver’s license, voter registration and other forms of legal identification are changed to the new residence.

I. STUDENT PROFILE: ID#

Grade:

STUDENT NAME: Last

Appendage

First

Middle

__Jr__II__III

Home Address:

City and Zip Code

Mailing Address:

City and Zip Code

***Race:

***Ethnicity:

Please mark one or more races to indicate what this person considers himself/herself to be.

Please mark one.

Gender:

 American Indian/Alaskan Native

 Asian

 Black

 Hispanic/Latino

F M

 Hawaiian/Pacific Islander

 White

 Not Hispanic/Latino

Birth Date:

Place of Birth:

Primary Language Spoken at Home:

City, State, and Country

month/day/year

Social Security Number:

(**Student social security numbers are collected in

Previous School Name, City and State:

order to identify students within the District’s computer

system and will be used only for that purpose.)

Home Phone:

Work Phone:

Emergency Phone:

 Both

 Mother

 Father

 Other:__________

II. GUARDIAN INFORMATION:

Residential/Custodial Parent:

PARENT/GUARDIAN NAME: Last

First and Middle Names

Birth Date:

month/day/year

 Father  Mother

 Other:________________

PARENT/GUARDIAN NAME: Last

First and Middle Names

Birth Date:

month/day/year

 Father  Mother

 Other:________________

III. PREVIOUS PROGRAM INFORMATION:

High School Registration Form

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