Inter-District Open Enrollment Application                             Old Fort Local Schools                                   2022-2023
APPLICATIONS MUST BE RECEIVED NO LATER THAN March 31, 2022.
One Application Per Student
Requests will be acted upon no later than April 7, 2022
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Email *
Enrollment Status *
Student's First Name     *
Student's Middle Name *
Student's Last Name *
Mailing Address Line 1 *
Mailing Address Line 2
City *
State *
Zip Code *
Student Social Security #
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Present Grade Level *
Present School Attending *
District of Residency *
Grade Level for 2022-2023 School Year *
Is student currently, or has student ever been, suspended or expelled? *
If yes, please explain. If no, type NA *
Is student enrolled in any special education or tutorial programs (IEP, 504 Plan, Title 1)? *
If yes, please explain the specifics for IEP, 504, or Title 1.  If no, type NA *
Are there any court orders (typically custody) in regards to this student? *
If yes, please explain.
Reason for applying to the Old Fort Open Enrollment Program? *
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