Citrus eSchool Enrollment Request Form
**THIS FORM IS FOR HOME EDUCATION STUDENTS OR STUDENTS NEW TO CITRUS COUNTY WHO WISH TO ENROLL IN ESCHOOL. IF YOUR CHILD IS CURRENTLY ENROLLED IN A BRICK-AND-MORTAR SCHOOL IN CITRUS COUNTY AND YOU WOULD LIKE TO REQUEST ENROLLMENT IN CITRUS ESCHOOL, PLEASE USE THE "ESCHOOL ENROLLMENT REQUEST" CUSTOM FORM ON SKYWARD FAMILY ACCESS.**

Citrus eSchool is offering an open enrollment window for semester 2 of the 2021-2022 school year, from January through May 2022. Please complete this form to indicate your intent to enroll your child in Citrus eSchool.

• Enrollment requests for new students will be evaluated based on successful completion of semester 1 classes.
• ESE students must attend specially designed instruction sessions and/or therapies as written in the IEP, including speech/language therapy, occupational therapy, and/or physical therapy.
• High school seniors must be on track to graduate for new enrollment in Citrus eSchool.

Please fill out a separate form for each student you intend to enroll.
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Citrus eSchool Student Expectations:
Student's First Name *
Student's Last Name *
Student's Date of Birth *
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Parent's Name (First and Last) *
Parent's Phone Number *
Parent's Email Address *
Student's Grade Level *
My child has an active accommodation plan: *
Required
Most Recent School of Enrollment: *
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