Circle USD 375 Enrollment Short Form
This form needs to be filled out if you are new to the district and did not attend the previous year.
Email address *
Student's Full Legal Name *
Your answer
Mailing Address: *
Your answer
Physical Address *
Your answer
Birthdate: *
MM
/
DD
/
YYYY
Gender *
Grade Level *
Last 4 of Social Security Number *
Your answer
Hispanic Ethnicity *
Race *
Mother's Name:
Your answer
Father's Name:
Your answer
Guardian Name:
Your answer
Home District *
Your answer
PowerAnnoucement Contact Phone Number: *
Your answer
PowerAnnoement Contact Email: *
Your answer
School Previously Attended: *
Your answer
School Previously Attended Address: *
Your answer
Special Academic Services: *
Previous Long Term Suspension/Expulsion: *
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