Petition for Open Enrollment, 2019-2020 School Year
Email address *
BETHLEHEM AREA SCHOOL DISTRICT'S ELEMENTARY SCHOOL OPEN ENROLLMENT POLICY
Type of Submission *
Student's Last Name *
Your answer
Student's First Name *
Your answer
Student's Middle Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Grade for 2019-20 *
Parent's Last Name *
Your answer
Parent's First Name *
Your answer
Parent's Street Address *
Your answer
Apartment Number
Your answer
Zip Code *
Your answer
Student's Home School *
Open Enrollment School Requested (First Choice) *
Open Enrollment School Requested (Second Choice)
Reason for Request *
Your answer
School Attended Last Year 2018-2019 *
Your answer
Type of School Attended Last Year *
By entering my initials below, I acknowledge that I have read and understand the Open Enrollment Policy. Please type your initials below. *
Your answer
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