K-12 Open Enrollment Application

K-12 Open Enrollment Application

Opens May 1st for the next school year. The deadline for submission is June 12th.
This form is for families that do not reside in the district, but who wish to enroll a child in our schools (Kindergarten through 12th grade).
School Year for Open Enrollment
Date

MonthDayYear
Date
Hour MinutesAM/PM Option
- Open Enrollment for the upcoming school year is open from May 1st to June 12th. This form will be available from May 1st through June 12th.
- Applications for Open Enrollment received after June 12th require Superintendent approval and are not guaranteed.
- For information on enrollment visit wilmingtoncityschools.com/enrollment.
Child's Date of Birth*

MonthDayYear
Date
In what grade level would the student be enrolled?*
Name of Student*

First NameMiddle NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Upload proof of residency (can be photo of utility bill,rent receipt, rent/lease agreement, etc). Please note that a driver's license is NOT acceptable.*

Cancelof
Parent or Legal Guardian Name*

First NameLast Name
Main Phone#*
Please enter a valid phone number.
Alternative Phone #
Please enter a valid phone number.
Work Phone #
Please enter a valid phone number.
Email
example@example.com
Building/School Presently Attending*
Present School District of Residence*
List all specific high school courses to be requested (if applicable)
Is the student enrolled in any special education programs or has the student been evaluated or referred for special education?*

YesNo
Please explain the special education programs, evaluations, or referrals:*
Has the student been suspended for 10 or more consecutive days or expelled during this or the previous semester?*

YesNo
Please explain the suspension or expulsion:*
Why are you applying for open enrollment for your child?*
STATEMENTS REGARDING OPEN ENROLLMENT
Please review the following terms and statments before signing and submitting this request for open enrollment:
- Open Enrollment Applications must be received by WCS Central Registration between May 1st and June 12th.
- Applications received by June 12th will be acted upon no later than June 30th.
- Parents must confirm acceptance of transfer within 10 days of the District’s notification of acceptance, by providing past school records of grades, credits, and promotion, or the application may be voided.
- Falsification of any of the above information may result in the voiding of this application.
- Open enrollment applications will be considered in accordance with Board Policy 5113 and Administrative Guideline 5113 for Interdistrict Open Enrollment and Ohio Revised Code 3313.98.
- Enrollment shall be subject to an agreement that parents are responsible for transportation to and from school or to a scheduled in-District bus stop.
Please indicate that you have reviewed and agree to the terms and statements above.

I have reviewed the above information
Signature below indicates that the information you have provided is true and accurate, and that you have reviewed and agreed to the Statements Regarding Open Enrollment listed above.*

Clear
FOR OFFICE USE ONLY
___ Approved

___ Rejected for reasons: ____________________________________________

Current Student ID: _________________________

Signature of Office: _________________________________________________
Should be Empty:

K-12 Open Enrollment Application

STATEMENTS REGARDING OPEN ENROLLMENT