Deadline to apply is Friday, July 25, 2024.
Sign in to Google to save your progress. Learn more
Application Date *
MM
/
DD
/
YYYY
Child's Name First - Middle - Last Name *
Child's Race *
Child's Gender *
Child's Date of Birth *
MM
/
DD
/
YYYY
Parent/Guardian's Email *
Parent(s) Name or Guardian(s) *
Child's Residential Address ~ Street, City & Zip Code *
Child's Mailing Address ~ The address used to receive your mail.  If you have a Post Office Box number, we must have that. *
Parent's Phone/Cell Number *
District of Resident of Custodial Parent/Guardian's  *
Grade for 2023-24 *
Explain reason for transfer *
Suspension/Expulsion  ~  Has your child been suspended or expelled from ANY school district for ten consecutive days or more? *
If you selected Yes to the above question, submit explanation.
Special Programs -  *
Does your child require Other Special Programs? *
Non-Discriminatory Statement
No student shall be denied admission to the Millcreek-West Unity Local School District or to a particular course or instructional program or otherwise discriminated against for reasons of race, color, national origin, sex, handicap, or any other basis of unlawful discrimination.
Parent/Guardian Signature ~ Your signature certifies all the above information is correct *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Millcreek-West Unity Schools. Report Abuse