WIHI & WIMA Change of Address Form

WIHI & WIMA Change of Address Form

Anything with a red star (*) must be filled out. If a section or question does not have a red star, it’s optional — you can leave it blank if it doesn’t apply to you.
Is the student(s) 18yrs or older:*
Parent/Guardian Information:

Only required if student is under the age of 18yrs old
Please list the name(s) of each parent/guardian moving below.

If one or 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 NameLast Name
Email Address of Parent/Guardian #1:*
example@example.com
Name of Parent/Guardian Moving #2:

First NameLast Name
Email Address of Parent/Guardian #2:
example@example.com
Student Information:

Required for all students
Name of Student Moving #1*

First NameLast Name
Student Email Address #1
example@example.com
Grade Level of Student #1:*
Name of Student Moving #2

First NameLast Name
Student Email Address #2:
example@example.com
Grade Level of Student #2:
Name of Student Moving #3

First NameLast Name
Student Email Address #3:
example@example.com
Grade Level of Student #3:
Address Information:
Old/Former Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
School District Registered with at this address:*
This is the school district the in which you lived in or School of Choiced into to attend our program.
New/Current Mailing Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact Information:
Is there are new phone number?*

YesNo
If Yes, please list it here:*

Area CodePhone Number
Type of phone:*
Residency Information:
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. Cancelof
Did you move out of your registered school district:*

YesNo
If Yes, what is your new school district:*
Please check Zillow to verify this information or your tax bill
If other, what is your new school district:
Please check Zillow to verify
Transportation Information:
Does your student ride the YCS Bus currently?*

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

YesNo
Would you like to be added to the Parent-Led Carpool List:

YesNo
Additional Forms Required when moving districts

Please read each scenario below and if one fits for your family, complete the required form.
Changes to school districts could result in a School of Choice application requirement or District Change Form requirement in order to continue at WIHI or WIMA.

WIHI families that moves out of Washtenaw County or into the Dexter School district and does not currently have an approved School of Choice on file with the Ypsilanti School District.

WIMA Families that move out of the Ypsilanti School District, will be required to complete the School of Choice application.

Please click the link below to complete this now:

SCHOOL OF CHOICE APPLICATION

WIHI families that move out of their registered School District to a different Washtenaw County School District, not including Dexter, are required to complete the District Change & New District Enrollment Request form.

Please click the link below to complete this now:

District Change & New District Enrollment Request Form
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
Student Signature, if age 18yrs or older - 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.
Should be Empty:

WIHI & WIMA Change of Address Form

Parent/Guardian Information:

Student Information:

Address Information:

Contact Information:

Residency Information:

Transportation Information:

Additional Forms Required when moving districts