Clay Open Enrollment Application
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- Application -
Student's first name: *
Your answer
Student's middle name: *
Your answer
Student's last name *
Your answer
Student's social security number: *
Your answer
Student's date of birth: *
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Parent/Guardian first name: *
Your answer
Parent/Guardian last name: *
Your answer
Street address: *
Your answer
City: *
Your answer
Phone number: *
Your answer
Email address: *
Your answer
Present school district of residence: *
Your answer
School building presently attending: *
Your answer
Grade level for the 2020-2021 school year: *
List all specific high school courses being requested:
(If any.)
Your answer
Is the student enrolled in any special education programs, or has the student been evaluated or referred for special education? *
If you answered yes, please explain:
Your answer
Has the student been suspended or expelled for 10 or more consecutive days during this or the previous semester? *
Requests will be acted upon not later than June 8. Parents must indicate acceptance of transfer on or before June 29 or the application may be voided. Falsification of any of the above information my result in voiding of this application/agreement.
Type your full name to sign digitally: *
Your answer
Type today's data to sign digitally: *
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Submit
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