Wyandotte Public Schools School of Choice Application 2020-2021 School Year
*THIS APPLICATION MUST BE SUBMITTED BY A PARENT/LEGAL GUARDIAN*

Application Period: May 18, 2020 - September 3, 2020.
Applications must be received by September 3, 2020, no later than 4:00pm.
No early or late submissions will be accepted.

Openings for Grades Young 5's, Kindergarten, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10 & 11 at the following schools: Garfield Elementary, Jefferson Elementary, Monroe Elementary, Washington Elementary, Wilson Middle School & Roosevelt High School

Approval/Denial Letters will be sent by US Mail prior to the start of the 2020-2021 School Year.

Questions? Contact 734-759-6014 or youngam@wy.k12.mi.us

Please Note: A SEPARATE application is required for each student applying.
Email address *
STUDENT INFORMATION
Student Last Name (as it appears on Birth Certificate): *
Student First Name (as it appears on Birth Certificate): *
Student Date of Birth: *
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Street Address (Include Apt # if applicable): *
City: *
Zip Code: *
Grade Entering 2020-2021 School Year *
For Elementary Students, please indicate your preference of school. Although we cannot guarantee placement at a particular elementary, we will take your preference into consideration when possible.
1st Choice
Clear selection
Please indicate why the school selected above is your first choice:
2nd Choice
Clear selection
3rd Choice
Clear selection
Did the student attend Wyandotte Public Schools during the 19/20 school year but moved during the school year? *
Has the student ever been expelled? If yes, the student is not eligible to enroll through the School of Choice program. *
Has the student received an OUT OF SCHOOL suspension since September, 2018? If yes, the student is not eligible to enroll through the School of Choice program. *
Does the student receive SPECIAL EDUCATION SERVICES? If yes, a copy of the IEP is required prior to enrollment (unless the student currently attends WPS). *
Does the student receive SPEECH AND/OR LANGUAGE SERVICES? *
Does the student have a 504 PLAN? *
Does the student have a sibling or household member that CURRENTLY attends Wyandotte Public Schools? *
If YES, please list the name(s) and school(s) of the sibling(s) or household member(s):
PARENT/LEGAL GUARDIAN INFORMATION
Please provide information for ONE PRIMARY CONTACT.
Parent/Legal Guardian Name (First, Last) *
Relation to Student: *
Do you reside with the student? *
If NO, please provide your address (Street, City, State, Zip)
Parent/Legal Guardian Phone Number (including area code): *
Parent/Legal Guardian Alternate Phone Number (including area code):
OPTIONAL - FOR INFORMATIONAL PURPOSES ONLY
Are there any other children in the household not currently attending Wyandotte Public Schools?
Clear selection
If Yes, what age is the child(ren)?
PARENT/LEGAL GUARDIAN ACKNOWLEDGEMENT
By typing my full name below, I agree that this application is being signed electronically. I also certify that all of the information provided is true and I acknowledge and accept the policies, procedures and requirements of the Wyandotte Public Schools'School of Choice Program. I understand that false or incomplete information will result in the disqualification and removal of the applicant student from the Wyandotte Public Schools' School of Choice application process.
Do you agree to with the above statement? *
Parent/Legal Guardian Full Name: *
Today's Date: *
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AUTHORIZATION FOR RELEASE OF STUDENT DISCIPLINE INFORMATION
The student indicated below is requesting consideration for enrollment in Wyandotte Public Schools through the SCHOOL OF CHOICE PROGRAM for the 2020-2021 School Year. This Student Release of Information is for disclosure and/or release of DISCIPLINE INFORMATION ONLY. Please Note: Applications MAY BE SUBJECT TO AN ADDITIONAL DISCIPLINE CHECK.
Student Name (Last, First) *
Student Date of Birth: *
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SCHOOL(S) ATTENDED
PLEASE LIST ALL SCHOOLS ATTENDED SINCE SEPTEMBER, 2018
School Name (If None,enter NA) *
School City/State (If None, enter NA): *
Grade(s) Attended: *
Required
School Name:
School City/State:
Grade(s) Attended:
School Name:
School City/State:
Grade(s) Attended:
Did the student attend more than 3 schools in the past two years? *
If yes, please indicate the additional School(s) below. Include the City/State of the school(s).
PARENT/LEGAL GUARDIAN ACKNOWLEDGEMENT OF DISCIPLINE RELEASE
By typing my full name below, I agree that this application is being signed electronically.

In compliance with the Family Educational Rights and Privacy Act (FERPA), the undersigned requests release of discipline information relative to the above named student to Wyandotte Public Schools. As parent/legal guardian, I hereby give Wyandotte Public Schools, its administrators, employees and agents, permission to request and review all discipline documents and materials (including any expulsion records and/or suspension records from the past two years - September 2018 through September 2020)contained in any file owned, possessed or managed by any other school or school district. I hereby authorize said school(s) to comply with the Wyandotte Public School District's request for said discipline documents and materials.
Do you agree with the above statement? *
Parent/Legal Guardian Full Name: *
Today's Date: *
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