New Student Enrollment Information
Upon enrollment other records that will be needed are Birth Certificate, proof of residency, and immunization record.
Student's Last Name *
Your answer
Student's First Name *
Your answer
Grade *
Your answer
School District You Reside *
Your answer
Indicate Past and Present Special Education Certification/Special Services Received: *
Required
Home Telephone Number: *
Your answer
Cell Phone:
Your answer
Parent Guardian: *
Your answer
Why your son/daughter would like to join GLOE:
Your answer
Are you currently expelled from a school? *
Please list reason in other space
Required
Has student ever been convicted of criminal sexual conduct? *
Required
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