Schools of Choice Application

Schools of Choice Application

Imlay City Schools
Completed applications will be accepted from December 9, 2024 to December 20, 2024

Printed applications can be mailed or delivered to: Imlay City Schools, 634 W. Borland Rd., Imlay City, MI 48444
If you have any questions, please call (810) 724-9861

Instructions: Kindergarten through 12th grade students residing in a school district located within the Lapeer County Intermediate School District (105) or in a contiguous intermediate school district (105-C) in another county, may apply to attend Imlay City Schools. Transportation is the responsibility of the parent/guardian.
Student Information

Complete one application per student. Answer all questions below.
First Name
Middle Initial
Last Name
Birthdate:

MonthDayYear
Date
Gender:

MaleFemale
Street Address
Apt #
City:
State:
Zip Code:
County of Residence:
School District of Residence:
Academic Information

Answer all questions below
Current School Attending:
Fall 2024 Grade Level:
Special Needs:

YesNO If you answered yes, please attach a current IEP or Section 504 Plan, if applicable.
Upload a current IEP or Section 504 Plan if applicable

Browse Files

Cancelof
Parent/Guardian Information

Answer all questions below.
Parent/Guardian Name (Last, First):
Home Phone:
Cell Phone:
Work Number:
Parent/Guardian Address (If different than student):
Reason you wish to transfer your student to Imlay City Schools:
Additional Information

Answer all questions below.
1) Is student currently attending Imlay City Schools as a tuition pupil:

YesNo
2) Does this student have a brother or sister attending this district?

YesNo
3) Is the Parent/Guardian an employee of Imlay City Schools?

YesNo
4) Has this student ever been suspended?

YesNo
5) Has this student ever been expelled?

YesNo
If you answered Yes to question 4 or 5, please state the district name, date, and reason for suspension or expulsion:
I understand that there may be online courses offered to my child and I give my consent for my student to take any course assigned.
The above information is true and accurate to the best of my knowledge and agree to release my student’s records to the receiving school. I understand that any false information provided by me may be considered grounds for disapproval of this application.
Signature of parent/guardian

Clear
Date:

MonthDayYear
Date
The Imlay City Schools do not discriminate in any of its educational programs, activities, or employment practices on the basis of race, color, national origin, gender, age, disability, religion, height, weight, or marital status.
Should be Empty:

Schools of Choice Application

Student Information

Academic Information

Parent/Guardian Information

Additional Information