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Out of District Enrollment Application for 25-26
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Email
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Your email
1. Please list all students' names (Last, First, Middle).
*
List ALL students' that you have applying to attend Bardstown City Schools (youngest to oldest).
Your answer
2. Please list all students' birthdays.
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List the birthday for all students (youngest to oldest) - mm/dd/year.
Your answer
3. List the status of all students
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New enrollee with NO sibling and/or no staff connection with Bardstown City Schools
New enrollee with a sibling already attending and/or a full-time, parent or guardian, employed with Bardstown City Schools
Student is currently enrolled in Bardstown Early Childhood
Other
Required
4. The student(s) will be in which grade(s) for the 25-26 year?
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3yr old
4yr old
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Required
5. In which school district is your child(ren) currently enrolled?
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Nelson County Public Schools
Washington County Public Schools
Bullitt County Public Schools
Hardin County Public Schools
Marion County Public Schools
Larue County Public Schools
Spencer County Public Schools
Jefferson County Public Schools
Private or Parochial School
Homeschool
First enrollment of educational career
Required
6. Does this student(s) have an Individual Education Plan (IEP)?
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Yes
No
7. If you answered "Yes" to the previous question #6 about an Individual Education Plan, please list the Primary Disability on the (IEP).
Your answer
8. Does this student have a 504 Plan?
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Yes
No
9. If you answered "Yes" to the previous question #8 about a 504 Plan, please list your student(s) disabling condition.
Your answer
10. Does this student receive any other special services while at school?
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Yes
No
11. If you answered "Yes" to the previous question #10 about "other special services", please describe those in reference to the regular school day.
Your answer
12. Has the student(s) ever been suspended or had other behavior issues in school?
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Yes
No
13. If yes, please briefly describe suspensions or other behavior issues below
Your answer
14. Has this student(s) had any issues with regular school attendance currently or in the past?
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Yes
No
15. If yes, please briefly describe issues with regular school attendance, currently or in the past, below.
Your answer
11. Please briefly describe the students' academic performance in school?
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Your answer
12. Please briefly explain the reason(s) for your out-of-district request below.
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Your answer
13. Students' Primary Address
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List the full address where the student is living, including zip code.
Your answer
14. Parent/Guardian Name (Last, First, Middle)
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I declare that I am the parent or legal guardian of student applying
Your answer
15. Parent/Guardian Primary Phone Number
*
Your answer
16. Parent/Guardian email address
*
Your answer
A copy of your responses will be emailed to the address you provided.
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