WIHI & WIMA Change of Address Form

Please list the name(s) of each parent/guardian moving below. If both parents/guardians are not moving, please do not list that parent/guardian below and they will remain at the former address.

Name of Parent/Guardian Moving #1: *

First Name Last Name

Email Address of Parent/Guardian #1: *

example@example.com

Name of Parent/Guardian Moving #2:

First Name Last Name

Email Address of Parent/Guardian #2:

example@example.com

Name of Student Moving #1 *

First Name Last Name

Student Email Address #1 *

example@example.com

Grade Level of Student #1: *

Name of Student Moving #2

First Name Last Name

Student Email Address #2:

example@example.com

Grade Level of Student #2:

Name of Student Moving #3

First Name Last Name

Student Email Address #3:

example@example.com

Grade Level of Student #3:

Is there are new home phone number? *

Yes No

If Yes, please list it here:

Area Code Phone Number

Old/Former Address: *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

New/Current Mailing Address: *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Please Upload New Proof of Residency: *

Browse Files

Families must provide ONE of the following items before the address will be changed in system and transportation notified: 1.) Mortgage Statement 2.) Property Tax Statement 3.) Updated Driver's License 4.) New Lease Agreement 5.) Purchase Agreement 6.) Affidavit Of Residency - if living with family or friends, a notarized Affidavit of Residency form will be needed. Please contact Mrs. Cartwright for this form.

Are you moving out of your registered school district: *

Yes No

If YES, what is your new school district:

Please check Zillow to verify

Changes to school districts could result in a School of Choice application requirement in order to continue at WIHI or WIMA.

Families who move out of Washtenaw County or into the Dexter School district and do not currently have an approved School of Choice on file with the Ypsilanti School District, will be required to complete one.

Please click the link below to complete this now:

SCHOOL OF CHOICE APPLICATION

Does your student ride the YCS Bus currently? *

Yes No

Will you need YCS Bus transportation at your new address? *

Yes No

Parent/Guardian Signature - by signing this you are agreeing that the changes requested above are true and accurate to the best of your knowledge: *

Clear

Any questions, please reach out to Mrs. Cartwright at Kcartwright@wihi.org for assistance.