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 *
Student's First Name *
Grade *
School District You Reside *
Indicate Past and Present Special Education Certification/Special Services Received: *
Home Telephone Number: *
Cell Phone:
Parent Guardian: *
Why your son/daughter would like to join GLOE:
Are you currently expelled from a school? *
Please list reason in other space
Has student ever been convicted of criminal sexual conduct? *
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