Out of District Enrollment Form for 20-21
* Required
1. Student's Name (Last, First, Middle)
*
Student's Name (Last, First, Middle)
Your answer
2. Student Birthday
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mm/dd/year
Your answer
3. Student's Status
*
Choose
New enrollee: No Sibling, No Staff Connection
New enrollee: Sibling enrolled in Bardstown City Schools
Currently enrolled in Bardstown Early Childhood
Other
4. Student will be in which grade for the 2020-2021 year?
*
Choose
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
5. In which Nelson County School is your child currently enrolled?
*
Please select the school or select "Not currently coming from the Nelson County School District"
Choose
Nelson County Early Learning Center
Cox's Creek
Foster Heights
Bloomfield Elem
Bloomfield Middle
Old Ky Home Middle
The New Haven School
Boston School
Nelson County HS
Thomas Nelson HS
Horizon's
The Academy
Not currently coming from the Nelson County School District
6. Does this student have an Individual Education Plan?
*
Yes
No
7. Does this student have a 504 Plan?
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Yes
No
8. Does this student receive any special services while at school?
*
Yes
No
If yes, please briefly describe below.
Your answer
9. Has this student ever been suspended or had other behavior issues in school?
*
Yes
No
If yes, please briefly describe below.
Your answer
10. Has this student had any issues with regular school attendance?
*
Yes
No
If yes, please briefly describe below.
Your answer
11. Please briefly describe this students academic performance in school?
*
Your answer
12. Please briefly explain the reason(s) for making an out-of-district request below.
*
Your answer
13. Student's Primary Address
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The full address where the student is living, including zip code.
Your answer
14. Parent/Guardian Name (Last, First, Middle)
*
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
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