USD 358 Virtual School Application

Pre School Enrollment

Please complete this application for each student you would like considered for acceptance in our Pre-School program. Availability is limited, so we are asking that you complete this as soon as possible so we can get an accurate count of students attending, and so we can make decisions about class size and staffing.
Student's Name *

First Name Last Name
Student's Birthdate *
Age *
Do you have any other students currently enrolled in USD 358? *

Yes No
Former School(s): *
Do you feel your student has any learning differences? Please Describe. *
Guardian Name *

First Name Last Name
Guardian E-mail *
Address *

Street Address

Street Address Line 2

City State

Zip Code
Phone Number *
Type of Phone: *
Work Phone
Oxford USD 358 does not discriminate on the basis of race, color, religion, sex, age, national origin, or disability in admission, access to, or treatment in its programs and activities.
Should be Empty:

Pre School Enrollment