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Active Member of the Military ESSA Form
As part of a new Ohio Department of Education reporting requirement for the 2017-2018 school year, as well as that of the Every Student Succeeds Act (ESSA), the South-Western City School District is required to identify those students whose parent/guardian is an active member of the Armed Forces or National Guard.

If you are currently an active member of the military, please provide the following information and select the appropriate option.

NOTE: This form only needs to be completed if you are a SWCSD parent/guardian who is also an active member of the military. If more than one parent/guardian are an active member of the military please fill out the form for each parent/guardian.

Email address *
Student First Name *
Your answer
Student Last Name *
Your answer
Student's Home School *
Your answer
Parent/Guardian First Name *
Your answer
Parent Guardian Last Name *
Your answer
If your student is a dependent of a member of the Active Duty Forces, National Guard, or Deployed Reservist, please select the branch of service below. *
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