Controlled Open Enrollment Application
If you have multiple students, please fill out the form once for each student.
This form is for Out of County or Out of Zone enrollment.

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Student's First Name (Please double-check for accuracy.) *
Student's Last Name (Please double-check for accuracy.) *
Student's Date of Birth *
MM
/
DD
/
YYYY
Student's Gender *
Student's Current Grade Level *
Current School District *
Current School *
Parent/Guardian First Name *
Parent/Guardian Last Name *
Family Home Address (full address include zip code) *
Parent/Guardian Phone Number *
Include area code (example: 3524639999)
Parent/Guardian Email Address *
Verify Parent/Guardian Email Address  *
First Choice Option *
Please choose your first choice. If your first choice is unavailable, you will automatically be considered for your second choice.
Second Choice Option *
Please choose your second choice. Select None if you do not have a second choice.
Special Considerations
Special considerations are not required to be considered for enrollment.
Siblings
If you selected a special consideration for siblings, please list the names of currently enrolled siblings or list the names of siblings applying to attend the same school. If none, please skip this question.
Hardship
 A hardship is not required to be considered for enrollment. If other is selected, please briefly explain. 
Family Member
If you selected the student's family member is an employee of the district, please list the employee's name and relationship to the student. If none, please skip this question.
Acknowledgement *
By selecting the box below, you agree and understand:
  1. I have reviewed the rules and requirements for Controlled Open Enrollment in the “Gilchrist County School District Controlled Open Enrollment Plan” available on the school district website.

  2. I understand that a separate controlled open enrollment application must be submitted for each student. 

  3. I understand that the parent/guardian is responsible for providing transportation, and out-of-county/out-of-zone students may ride Gilchrist County school buses under the following conditions:
    a) the student boards the bus at an established, approved bus stop;
    b) the bus has available seats. 

  4. I understand that, if approved, the above-named applicant may remain at the approved school until he/she completes the highest grade level at that school. The student will be required to re-apply during controlled open enrollment when he/she transitions to a new school in the district (from 5th grade to 6th grade). Approval is not guaranteed.   
Required
Electronic Signature *
Type your full name in the box below to sign this document with an e-signature. You acknowledge that the e-signature holds the same legal validity, force, and effect as a handwritten signature. 
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