Elementary Campus Placement Form
PLEASE ANSWER ALL REQUIRED QUESTIONS THAT ARE MARKED WITH AN ASTERISK *
Email *
Was your child Homeschooled during the 2020-2021 school year? *
Is this the first time this student has ever enrolled in a Texas school district? *
Where are you completing this form?
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Are you a District Employee
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If "Yes" please specify
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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)
OR if no E-mail is available, please list phone number
What Grade is the Student Entering? *
Required
Student's Name (first name - middle initial - last name) *
Age as of September 1, 2021 *
Student's Date of Birth *
Gender *
Ethnicity (you MUST choose at least one) *
Required
What language is spoken most at home? *
Parent/Guardian Name *
Relationship to Child *
Physical Address (cannot be a P.O Box) *
Mailing Address if different from above
Home Phone
Work Phone
Cell Phone
Email Address
What school district/daycare facility is your child(ren) transferring from? Please list the school name and state. (Type "none" if no school or daycare.) *
Has this child ever attended Livingston School District *
If 'yes', please check campus.
Clear selection
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
Does this student have any siblings (MUST be brother/sister) that currently attend Livingston ISD Elementary Campuses (1st Grade - 5th Grade)? If yes, please fill in the information below. *
Name 1
Grade
Campus
Name 2
Grade
Parent/Guardian Signature (Signature required upon enrollment at campus)
Date
Submit
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