Grand Ledge Public Schools 2023-2024 Schools of Choice & Release Application



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Parent/Guardian Name *
(First Last)
Street Address *
(Include House/Apt Number)
City *
Zip *
Phone *
Provide us the best phone number to reach you between 8:00am-4:00pm.  Also make sure you include the area code.  Please use this format when entering the phone number ###-###-####.
EMail *
Provide the email address we will send correspondence to regarding this application.
Student's First Name *
First name as it appears on birth certificate.
Student's Last Name *
Last name as it appears on birth certificate.
Date of Birth *
Student's Date of Birth (Please be sure YEAR OF BIRTH is accurate)
MM
/
DD
/
YYYY
Resident District *
The school district that the student resides in.
Most Recent School *
Identify the most recent school this student attended.
Previous Enrollment *
If this student has attended Grand Ledge Public Schools before, select the most recent school attended or select none if not applicable.
Prior Date
What school year did this student last attend the above school.
Clear selection
Reason *

Please check all that apply. Indicate why you would like your student to attend Grand Ledge Public Schools.

Required

How did you learn about schools of choice?

 *

Please check all that apply. Where did you see or learn that Grand Ledge Public Schools was doing schools of choice?

Required
Suspension/Expulsion *
Has this student been suspended/expelled within the last 2 years or have a pending suspension/expulsion?
Required
Suspension/Expulsion School
Identify the school(s) this student was suspended/expelled from.
Suspension/Expulsion Explanation
Explain the circumstances of the suspension/expulsion.
Language
What primary language is spoken in the home?
Special Education *
Does this student currently qualify or receive special education services (i.e. has an IEP)?
Support Services
If yes, list in detail special education classes and support services:
If yes, submit a copy of the most recent IEP to
Grand Ledge Public Schools
Room 206
220 Lamson St.
Grand Ledge, MI, 48837
or fax to: 517-925-5441
Grade *
What grade will the student be entering for the 2023-2024 school year?
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