Public School Enrollment

Public School Enrollment
EDUCATIONAL GUARDIANSHIP APPLICATION
Please list each child individually
1.Student*
Date of Birth*

MonthDayYear
Date
Grade:*

Male FemalePlease print clearly
Grade*
Date of Birth

MonthDayYear
Date
Date of Birth

MonthDayYear
Date
Date of Birth:

Grade: Male FemaleGrade: Male Female
Date of Birth
3.Student
Date of Birth

MonthDayYear
Date
Date of Birth:

Grade: Male FemaleGrade: Male Female
Date of Birth
4.Student
Date of Birth

MonthDayYear
Date
Date of Birth:

Grade: Male FemaleGrade: Male Female
Date of Birth
5.Student
Date of Birth

MonthDayYear
Date
Date of Birth
First

Date of Birth:Date of Birth:
6.Student
Date of Birth

MonthDayYear
Date
Date of Birth
First

Date of Birth:Phone Number:
7.Student
Date of Birth

MonthDayYear
Date
Date of Birth
First

ZipState
Guardian
E-mail*
example@example.com
E-mail*
example@example.com
Guardian Name*
Guardian Address*
Guardian Name
Phone Number
Guardian Address
Relationship of Guardian to Student*
Reason for Guardianship*
Parent with Custody
E-mail
example@example.com
Name of Parent with Custody*
Phone Number
Address of Parent with Custody
REQUIREMENTS TO OBTAIN EDUCATIONAL GUARDIANSHIP FROM STUDENT ENROLLMENT

Parent lives in Orange, Brevard, Lake, Osceola, Polk, Seminole, or Volusia County

Parent lives outside the State of Florida or outside Orange, Brevard, Lake, Osceola, Polk, Seminole, or Volusia County
- 1.Parent is incarcerated
- 2.Parent is deceased
- 3.Parent is hospitalized
Proof of imprisonment Notarized statement from custodial parent.

1.Proof of parents address outside of the seven counties listed above or the state of Florida.

Copy of the obituary or death certificate.

2.Notarized statement from custodial parent assigning individual as the educational guardian.

Documents stating when the parent was admitted and possible release date. Notarized statement from custodial parent.

Military deployment orders Notarized statement from custodial parent.

1.The student’s birth certificate. 2. Guardian photo ID (Guardian must be present to receive guardianship 3. Guardian’s proof of residence in Orange County.

*In some instances additional documentation may be requested.*
Attached are the following documents

Guardian’s Driver's License
Attached are the following documents

Guardian’s State ID
Attached are the following documents

Guardian’s Passport
Attached are the following documents

Parent’s Driver's License
Attached are the following documents

Parent’s State ID
Attached are the following documents

Parent’s Passport
Attached are the following documents

Notarized Statement from custodial parentStudent’s Birth CertificateProof of Parent’s residency outside of the seven counties listed above or the state of FloridaProof of imprisonmentObituary or death certificateHospitalization documentationMilitary deployment orderOther
Guardian’s Driver's License
Guardian’s State ID
Guardian’s Passport
Parent’s Driver's License
Parent’s State ID
Parent’s Passport
READ AND SIGN
Florida Statutes 837.06 Provides That Whoever Knowingly Makes A False Statement In Writing With The Intent To Mislead A Public Servant In The Performance Of His Official Duty Shall Be Guilty Of A Misdemeanor Of The Second Degree And Punishable By Up To 60 Days In Jail And/Or A Fine Of Up To $500.00. If You Falsify Your Residence When Enrolling Your Child, You Will Be Referred To Law Enforcement For Prosecution.

Proof of residence must be provided at school.

If a family either: 1. Provides false information on any OCPS form, 2. Uses false documentation, or

3. Does not notify the school of an address change to a different school zone,

the student will forfeit athletic and extracurricular eligibility for one (1) calendar year from the date of discovery of the violation.
Today’s Date*

MonthDayYear
Date
Sworn to and subscribed before me this By By By being duly sworn, or having duly affirmed to tell the truth, stated personally before me that they are competent under the law to give this affidavit and unless stated have personal knowledge of the facts stated herein:

, and DL/ID# , and DL/ID# , and DL/ID#
Should be Empty:

Public School Enrollment

EDUCATIONAL GUARDIANSHIP APPLICATION

Guardian

Parent with Custody

READ AND SIGN