SCHOOL CHOICE PROGRAM APPLICATION FOR 2021-2022
Champlain Islands Unified Union School District: K-6 School Choice

The deadline for School Choice is Wednesday, April 28, 2021 by 4:00 pm. Applicants will be informed by the CIUUSD regarding their application status by Friday, May 7, 2021. Applicants will need to confirm acceptance by Friday, May 21, 2021. Applications received after April 28, 2021 may be considered on a case-by-case basis, depending on slots still available.

Please note: Only a limited number of school choice slots are available each year. Every school has a different number of slots depending on the size of the school and established limits.
Student Name *
Date of Birth *
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Gender *
Student Email Address *
Student Cell Phone Number
Name(s) of Parent(s)/Guardian(s) *
Parent/Guardian Phone Numbers *
Mailing Address *
Physical Address (if different from mailing address)
Parent Email Address *
Town/City of Legal Address *
Student's Current Grade Level *
Current School Attending *
Are you anticipating a change in residency status (will you be moving) at any time during the next school year? *
If you answered yes to the question above, please explain:
What is your first choice school? *
What is your second choice school? *
REASON: Please indicate why you are interested in school choice. In order to evaluate the program effectiveness it is helpful to know the reasons why students wish to attend schools. Information collected will have no bearing on acceptance; if more slots are needed than available, we will conduct a random lottery. *
We have read and understand the guidelines pertaining to the CIUUSD School Choice Program. We understand that parents and guardians are responsible for the transportation to and from the choice school. Parents may transport their child to the closest bus stop for the school. Acceptance into a School Choice Program is contingent upon a determination by cooperating schools that a student is in good standing. Parent Signature: (type name below to indicate your signature) *
We have read and understand the guidelines pertaining to the CIUUSD School Choice Program. We understand that parents and guardians are responsible for the transportation to and from the choice school. Parents may transport their child to the closest bus stop for the school. Acceptance into a School Choice Program is contingent upon a determination by cooperating schools that a student is in good standing. Student Signature: (type name below to indicate your signature) *
Date of Signature *
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DD
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YYYY
Please submit this form by April 28, 2021
If you have questions about the process or application forms, please contact:
David Mills
GISU Parent Liaison & CIUUSD School Choice Registrar
(802) 372-6921 x2008
Definitions:
Resident School: The school where the parent(s) legally reside.

Good Standing: any child who is long term suspended from a school may not apply for school choice in the same academic school year. A child who has been long term suspended is considered to not be in good standing.

Lottery: If there are more applications than spaces available, there will be a lottery conducted.
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