Elementary Campus Placement Form
PLEASE ANSWER ALL REQUIRED QUESTIONS THAT ARE MARKED WITH AN ASTERICK *
Is this the first time this student has ever enrolled in a Texas school district? *
Where are you completing this form?
Are you a District Employee
If "Yes" please specify
You will be notified of your child's campus placement by email (please check your Spam box)
E-mail (this will be used as the main notification)
Your answer
OR if no E-mail is available, please list phone number
Your answer
What Grade is the Student Entering? *
Required
Student's Name (first name - middle initial - last name) *
Your answer
Age as of September 1, 2017 *
Your answer
Student's Date of Birth *
Your answer
Gender *
Ethnicity (you MUST choose at least one) *
Required
Language spoken at home *
Parent/Guardian Name
Your answer
Relationship to Child
Your answer
Physical Address (cannot be a P.O Box) *
Your answer
Mailing Address if different from above
Your answer
Home Phone
Your answer
Work Phone
Your answer
Cell Phone
Your answer
Email Address
Your answer
What school district/daycare facility is your child(ren) transferring from? Please list school name and state. (Type "none" if no school or daycare.)
Your answer
Has this child ever attended Livingston School District *
If 'yes', please check campus.
During what year?
MM
/
DD
/
YYYY
Has this child ever been retained *
Please check any/all programs your child is currently participating in: *
Required
Health or Medical Diagnosis or Concerns
If yes, please explain
Your answer
Does this student have any siblings that currently attend Livingston ISD Elementary Campuses (PreK-3rd Grade)? If yes, please fill in the information below. *
Name 1
Your answer
Grade
Your answer
Campus
Your answer
Name 2
Your answer
Grade
Your answer
Parent/Guardian Signature (Signature required upon enrollment at campus)
Your answer
Date
Your answer
Submit
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