Application for Admission
This is the School of Choice Non-Resident application for enrollment. For the resident application please visit
madisondistrict.org/our_district/enrollment/online_enrollment
Email address *
I desire to attend Madison District Schools as a non-resident student and I understand that my enrollment depends on my willingness to attend classes regularly and on time, and on my maintaining acceptable standards of behavior. In return for permitting me to attend Madison District Schools, I agree to the following:
1. Attend classes everyday.
2. Have a parent/guardian call in to excuse me whenever I am absent from school.
3. Go to my classes on time and not be tardy.
4. Get permission from the office whenever I have to leave the school building during the school day.
5. Behave in classes and follow the rules and policies of the classroom teachers.
6. Be positive and supportive, and abide by school policies and regulations.
7. Not fight or instigate fights.
8. Make an honest effort to do my work in classes and try to get acceptable grades in all my classes.
9. Respect the rights of others.
10. Not bring to school or use prohibited substances such as tobacco, alcohol, or drugs.
11. Not bring prohibited items to school such as pagers, telephones, real or toy weapons, darts, water balloons, skate boards, roller blades, or any other banned items.
12. Follow all established rules.
13. Return all school materials given to me to use such as books, equipment, and supplies.

I understand what is expected of me in order for me to attend Madison District Schools as a non-resident student. I accept responsibility for my actions.

Student Information
First Name *
Your answer
Middle Name
Your answer
Last Name *
Your answer
Date of Birth *
The birth year may display the current year by default, please change it to the students birth year
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Contact Information
House number and Street name *
ex: 1234 Homestead Dr
Your answer
City *
Your answer
Zip code *
Your answer
Phone Number *
Ex: 1234560987 Do not include the spaces or dashes
Your answer
Secondary Phone Number
Your answer
Email Address of Parent/Guardian *
Your answer
How did you hear about Madison District Public Schools? *
Current School Information
School District of Home Address *
Your answer
Name of Current School
Your answer
Current Grade of Student *
Which school are you applying to? *
Has the student ever been expelled from school? *
Was the student suspended any time during the past two school years? *
Does the student have special needs or an I.E.P.? *
Is the primary language in your child’s home a language that is NOT English? *
If yes, what is the language?
Your answer
Immigration date, if not born in the U.S.
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DD
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YYYY
For sibling priority purposes, does your child have a sibling currently attending Madison District Schools under the schools of choice program? *
Name of sibling
First and Last Name
Your answer
School Sibling Attends
Full name of parent or guardian: *
Your answer
Today's Date *
MM
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DD
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This form was created inside of Madison District Public Schools.