Request for Inter-District Open Enrollment (FY22)
This form is to be used for students who live OUTSIDE the Green Local School District - Wayne County.  Applications are accepted starting March 1 thru March 31st.  ONE APPLICATION PER STUDENT MUST BE COMPLETED.


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Email *
THIS IS A: *
STUDENT LAST NAME *
STUDENT FIRST NAME *
STUDENT MIDDLE NAME
HOME ADDRESS *
CITY *
ZIP CODE *
HAVE YOU MOVED WITHIN THE PAST 12 MONTHS? *
MAILING ADDRESS, IF DIFFERENT THAN HOME ADDRESS
DATE OF BIRTH *
MM
/
DD
/
YYYY
GENDER *
STUDENT'S CITY OF BIRTH *
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