Open Enrollment Application Form
Open enrollment decisions are based on accurate information provided on this application. A change in the status of the student or any inaccurate information provided could disqualify the applicant. No student shall be denied admission to the Minerva Local School District based on race, color, national origin, gender, handicap or any other basis of unlawful discrimination.

You will be receiving an email notifying you of your approval status when it has been reviewed. Please complete by May 29. If you have any questions about this form, please contact Teri Hollar at (330) 868-4332 or hollart@minerva.sparcc.org.
Email address *
Student First Name - must match birth certificate *
Your answer
Student Middle Name - must match birth certificate *
Your answer
Student Last Name - must match birth certificate *
Your answer
Gender *
Birth Date *
MM
/
DD
/
YYYY
Grade as of 8/2020 *
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