Boundary Request Application 2017-2018
To be used for in-district and out of district requests
Student's First Name
Your answer
Student's Last Name
Your answer
Date of Birth
MM
/
DD
/
YYYY
Current Grade
Your answer
Parent/Guardian Name
Your answer
Address
Your answer
City
Your answer
State/Zip
Your answer
Phone Number
Your answer
Email Address
Your answer
Desired School
Current School
Your answer
Current School City/State
Your answer
Reason For Request
Your answer
Special Programs
Are there siblings requesting boundary exceptions?
If yes, list names, grades, and school of siblings:
Your answer
Has the student been expelled or long-term suspended from any school or district?
Is the student in the process of being expelled or long-term suspended from another school or district?
Is the student currently being Supervised by a juvenile court?
Providing false information on this form will result in the application being denied or admission being revoked. The parent/guardian signing this application affirms that the student seeking enrollment will abide by the rules , standards, and policies of the school and district if enrolled. Failure to comply with school and district rules could lead to revocation of the boundary variance.
Application will be pending until decisions are made June 2017 prior to the new school year. Thank you for choosing FUSD!
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