2019-2020 Application for Enrollment of a Student without Legal Settlement in the School District
Mooresville Consolidated School Corporation Education Center
11 W. Carlisle Street
Mooresville, IN 46158
P. (317) 831-0950
F. (317) 831-9202

www.mooresvilleschools.org

Requirements
*A separate application is required for each child requesting enrollment.
*The deadline for all applicants is May 31, 2019.
*Nonresident acceptance is granted for one year only (July 1 to June 30).
*All applications must be complete with accurate information.
*Transportation to and from school must be provided by the parent/guardian.
*All children must be enrolled in their selected school by July 31, 2019. This can be completed at the school once you have been notified of acceptance. If a nonresident child is not enrolled by this date, the application will be voided.
*Submit all applications to Mrs. Holly Frye, Director of Curriculum and Instruction, MCSC Education Center, 11 W. Carlisle St., Mooresville, IN 46158 or fax to (317) 831-9202.
Student Information
Please Note: If the preferred school has reached capacity, attendance may not be available and student will be placed in a different school.
Student's Full Name *
Your answer
Student's Birthdate *
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Student's Age *
Your answer
Will the student be 5 years of age before August 1, 2019? *
Student's 2019-2020 Grade Level *
Preferred School *
Name of the school child attended during 2018-19 school year: *
Your answer
Student's Resident School District (please enter the school district in which the student lives in): *
Your answer
Does the student currently have an IEP? *
Parent/Guardian(s): *
Your answer
Address: *
Your answer
City: *
Your answer
Zip Code: *
Your answer
Home Phone (with Area Code):
Your answer
Cell Phone (with Area Code):
Your answer
Work Phone (with Area Code):
Your answer
Email Address:
Your answer
Acknowledgement:
In submitting this application, I am indicating that I understand the conditions of possible enrollment of my child as a nonresident student in the Mooresville Consolidated School Corporation. I understand that I am responsible for transportation of my child to and from school.

I understand that final approval of this application is subject to approval by the Superintendent or his designee. Following approval of nonresident status, I understand that continuation of this status for this school year is contingent upon my child remaining in good standing.

**PLEASE NOTE: CONFIRMATION LETTERS WILL BE SENT TO PARENTS IN MID-JUNE.

I agree to the above Acknowledgement statement (please note that by checking Yes/No, this will serve as an electronic signature): *
Your Name: *
Your answer
Date: *
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