New Student Record Request 2023-2024
Students who are NEW to Box Elder School District will need to fill out the following form in order for us to request your records from your previous school. BEHS will be requesting a transcript, birth certificate, immunization record and an IEP, ELL or 504 plan if applicable.
Once ALL of these records have been received, you will be contacted the first week in August to set up an intake appointment. You MUST bring proof of residency and the fee payment of $114 or a completed fee waiver application and proof of income with you to your appointment. 
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Legal First Name *
Middle Name
Legal Last Name *
Preferred Name *
Date of Birth *
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DD
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Student Grade for 2023-24 School Year *
Has your student ever attended school in Box Elder School District? *
Does your student qualify for any of the following services? *
Name of School Previously Attended *
Address of School Previously Attended *
Phone Number of School Previously Attended *
Fax Number of School Previously Attended *
Email of School Previously Attended *
Name of Legal Parent of Legal Guardian *
Phone Number of Parent of Legal Guardian *
Email of Parent of Legal Guardian *
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