2023-24 K-8 SOC Application

*******LPS is offering a limited number of seats for students who will be in grades Kindergarten-6 in the 2023-2024 school year. Grades 7-12 are closed. We are not accepting applications for students who will in grades 7-12 in the 2023-2024 school year.********

Please complete one application per student in your household. The deadline for applications is 4 p.m. on March 31, 2023.

If there are more applicants than seats available, a lottery will be held on April 14, 2023 in the LPS Board of Education Office. This meeting will be closed to the public but will be recorded and available for immediate replay. Notifications of acceptance or waitlist status will be sent via email the week of April 17, 2023.

Applicants who have other students residing in the same household currently enrolled in LPS under 105/105c Schools of Choice will be given preference.

Parents/Guardians are responsible for the timely transportation of students to and from school on a daily basis.

In accordance with the Pupil Accounting Manual, Livonia Public Schools may disallow the enrollment of a student who receives special services and resides outside of the Wayne County Intermediate School District if a mutual agreement cannot be reached with the student’s home district/ISD related to responsibility for added costs.

How did you find information about registering your child via Schools of Choice?*

Student name*

First NameMiddle NameLast Name

Gender*

MaleFemale

Birthdate*

Date

Current grade*

Grade September 2023*

Current school (if applicable)

Address of current school (if applicable)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Has the student previously been enrolled in Livonia Public Schools?*

YesNo

If yes, please list dates of enrollment

Has the student ever been expelled from another school?*

YesNo

If yes, please list dates of expulsion

Reason(s) for expulsion

Has the student been suspended from any school in the past two school years?*

YesNo

If yes, please list dates of suspension

Reason(s) for suspension

Has the student been truant or had attendance problems at another school in the past two school years?*

YesNo

Reason(s) for truancy

It is understood that the student will adhere to the attendance policies written in the student handbooks, and that tardies/absences will not be excused due to lack of transportation or weather conditions.*

YesNo

Has the student received special education services at any time? If so, please list services and attach the IEP form. (Please note that Livonia Public Schools may not enroll a student residing outside Wayne County Intermediate School District if a written mutual agreement cannot be reached with the student's home district/ISD responsible for costs.)*

YesNo

Does the student have a 504 plan?*

YesNo

Student IEP and/or 504 plan (if applicable)

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Does the student have a sibling currently attending LSP under Schools of Choice 105/105c?*

YesNo

If yes, which program is the sibling enrolled in?

Please list name(s) of enrolled sibling(s)

School(s) of enrolled sibling(s)

Parent/Guardian Name*

First NameLast Name

Parent/Guardian Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Resident County*

Resident School District*

Parent Email Address*

example@example.com

Parent Phone Number (primary)*

Please enter a valid phone number.

Primary Phone Number type*

Parent Phone Number (secondary)

Please enter a valid phone number.

Primary Phone Number type

I understand that parents/guardians are responsible for providing transportation to and from school every day.*

Yes

As the parent(s)/legal guardian(s) making application for Schools of Choice under State Aid Act of 1996, P.A. 300, Sections 105 and 105c, my/our signature(s) on this application signifies my/our understanding and agreement to the Schools of Choice language and guidelines and to all rules and regulations of student handbooks. It is also understood that if Livonia Public Schools finds any information that is incorrect or falsified on this application, including affirmation of prior discipline records, this would immediately terminate enrollment of the student on this form. My/our signature(s) holds harmless the Livonia Public Schools, their employees, and Board of Education members for any decisions made relative to the Schools of Choice language and guidelines. It also grants Livonia Public Schools permission to contact our current district to obtain school records for my/our student, including discipline records.

Notice of Nondiscrimination: Livonia Public Schools prohibits unlawful discrimination on the basis of race, color, religion, sex, national origin, age, height, weight, marital status, handicap or disability in any of its educational programs or activities. The following person has been designated to handle inquiries and grievances regarding discrimination based on race, color, religion, sex, national origin, age, height, weight, and marital status-Director of Human Resources, 15125 Farmington Road, Livonia, MI 48154 at (734) 744-2566. The following person has been designated to handle inquiries and grievances regarding discrimination based on handicap or disability-Director of Student Services, 15125 Farmington Road, Livonia, MI 48154 at (734) 744-2524.

Parent/Guardian Name*

First NameLast Name

Parent/Guardian Signature*

Clear

Livonia Public Schools Limited Schools of Choice Application: K-6 2023-24

Student information

Sibling Information

Parent/Guardian Information