Elementary Open Enrollment Application 2024-25

Elementary Open Enrollment Application 2024-25

Next School Year: July 17, 2024-May 22, 2025
This is not a school registration form. Your Open Enrollment Application MUST be approved before the registration/transfer occurs.

Your family must live in the State of Arizona to complete an Open Enrollment Application.

If your child is currently on an Open Enrollment, please do not complete this application unless you are requesting a new school or you have recently changed Arizona addresses.

Please allow enough time to complete this application, as you will not be able to go back to complete.

Some of your responses may require additional information.
Submit only ONE (1) application per child.

Elementary Open Enrollment Application 2024-25

Child's Information
Priority Information
Category 1 Priority
Category 1 Grouping
Category 2 Priority
Category 2 Grouping
Child's Name*

First NameLast Name
Gender*
Date of Birth*

MonthDayYear
Date of Birth
Grade*
2024-25 school year
Are you requesting Early Entrance into Kindergarten? (birthday 9/1/2019-12/31/2019)*
Is your child currently in preschool?*
Where is your child attending preschool?*

A Chandler Unified schoolAnother public school districtA Charter schoolA Private schoolA daycare/learning center
EARLY ENTRANCE INTO KINDERGARTEN STATEMENT

For your child to be considered for Early Entrance into Kindergarten, their 5th birthday must be between September 1-December 31, 2024. Your child will need an assessment to determine if they qualify for acceptance into kindergarten. Register online starting January 10, 2024 at www.CUSDcommunity.com to sign up for the Kindergarten Readiness Test. For additional questions, contact the Assessment office at 480-812-7674.
PHYSICAL HOME ADDRESS

(An Arizona address MUST be entered of where your child sleeps more than 50% of the time. Please do not enter a PO Box address.)
CURRENT Physical Arizona Home Address*

Street Address

Apartment #/Unit #

CityState

Zip Code
Select your neighborhood (boundary) school based on where you physically live in Arizona. Refer to the Elementary Attendance Boundary map below. *

Elementary Open Enrollment Application 2024-25

School Information
My child has PREVIOUSLY been suspended from school.*
My child is CURRENTLY suspended from another school.*
My child is CURRENTLY in the process of being suspended from another school.*
My child has PREVIOUSLY been expelled from school.*
My child is CURRENTLY expelled from another school.*
My child is CURRENTLY in the process of being expelled from another school.*
SUSPENSION/EXPELLED STATEMENT

If your child has ever been suspended or expelled, is currently suspended or expelled or in the process of being suspended or expelled, please ensure the Discipline Report is attached to this application. If you do not attach the Behavior/Discipline Report while filling out this application, you will have an opportunity to upload it using the Document Upload link that is provided in the email confirmation.
My child is CURRENTLY enrolled in a public or private school.*
Select the school district your child CURRENTLY enrolled in.*
Select the charter school your child is CURRENTLY enrolled in. If the charter school is not listed, select "Other charter school".*
HOME SCHOOL STATEMENT

If your Open Enrollment Application is approved and you complete the enrollment, your child may be given an assessment after they start school to see where they are academically. Per CUSD Governing Board Policy JG.
Select the Chandler Unified school your child CURRENTLY attends.*
If you do not see your child's school listed, this means your child is not attending a Chandler Unified school and you will need to change your response above to "No".

HOME SCHOOL STATEMENT

If your Open Enrollment Application is approved and you complete the registration/transfer, and your child may be given an assessment after they start school to see where they are academically. Per CUSD Governing Board Policy JG.
I have the required documents to attach.*
REQUIRED DOCUMENTS STATEMENT

You indicated you do not have the required documents to attach to this application. Instructions on how to provide the documents to CUSD will be in your email confirmation.

Elementary Open Enrollment Application 2024-25

Required Documents

You indicated you have the required documents to attach to this application. Make sure the file is saved with your child's name. A PDF is preferred.

For example:
- John Doe Attendance
- John Doe Discipline
  - If your child does not have a discipline report, a statement on letterhead from the current school must be provided.
- John Doe Report Card
*Each document MUST be titled with your child's first and last name along with the file name. Only submit the required documents.
Required Document Upload

CLICK HERE to upload your child's Attendance Report, Discipline Report and Report Card. You will be able to select multiple documents during this process.

Elementary Open Enrollment Application 2024-25

School Choices

There are two school choice categories to select from. You will have the option of selecting a school from:

Category 1 (Classic, Dual Language or Traditional)

and/or

Category 2 (Gifted Education, includes: satellite classrooms and full campus)

Look at the charts below to determine which category you will select your requested school from.

Category 1 Schools - Full Classic

Andersen Elementary (K-5th)	Hartford Sylvia Encinas Elementary
Basha Elementary	Hull Elementary
Bologna Elementary	Jacobson Elementary
Chandler Online Academy-Elementary	Navarrete Elementary
Conley Elementary	Riggs Elementary
Elite Performance Academy (3rd-8th)	Ryan Elementary
Frye Elementary	San Marcos Elementary
Fulton Elementary	Sanborn Elementary
Galveston Elementary	Santan Elementary (K-6th)
Haley Elementary	Shumway Leadership Academy
Hancock Elementary	Tarwater Elementary

Category 1 Schools - Full Traditional

CTA Freedom Campus

CTA Goodman Campus

CTA Humphrey Campus

CTA Independence Campus

CTA Liberty Campus

Category 1 Schools - Classic and Traditional

Auxier Elementary

Carlson Elementary

Patterson Elementary

Rice Elementary

Category 1 Schools - Dual Language Immersion (DLI) Program

Bologna Elementary	Spanish (K-4th)
CTA Freedom Campus	Spanish (K-2nd)
CTA Liberty Campus	Spanish (K-6th)
Tarwater Elementary	Mandarin (K-6th)

Category 2 - Gifted Schools

Jacobson Elementary	3rd-6th satellite classrooms
Knox Gifted Academy	K-6th full campus
Ryan Elementary	3rd-6th satellite classrooms
Weinberg Gifted Academy	K-6th full campus

I would like to request a school in Category 1.*
If you select No, you will be moved to Category 2 for Gifted Education.

Elementary Open Enrollment Application 2024-25

Category 1 School Choice Selection

Classic curriculum | Dual Language curriculum | Traditional curriculum
School Choice*
ANDERSEN K-5 STATEMENT

Andersen Elementary doesn't have 6th grade students. Open Enrollment Applications for 6th grade must be completed on the Secondary Open Enrollment Application, requesting Andersen Junior High. The Secondary Open Enrollment Application can be found by clicking here.
BOLOGNA DLI WRONG GRADE LEVEL STATEMENT

The grade level you selected is not available for the Dual Lanaguage Immersion Spanish program at Bologna Elementary. Bologna only offers Kindergarten-4th grade Spanish Immersion. Please select a different school before moving to the next page.
CTA FREEDOM DLI WRONG GRADE LEVEL STATEMENT

The grade level you selected is not available for the Dual Lanaguage Immersion Spanish program at CTA Freedom Campus. CTA Freedom only offers Kindergarten-2nd grade Spanish Immersion. Please select a different school before moving to the next page.
I CURRENTLY have a child attending this School Choice AND they will attend this school next year.*
School Choice sibling name/current grade*
Currently in K-5th
DUAL LANGUAGE IMMERSION STATEMENT

In case your Dual Language Immersion (DLI) School Choice is at capacity (no seat available), you have the option to select the same school as a non-DLI School Choice. The application will remain on the capacity waitlist, with the time and date stamp of when it was received. If a seat becomes available with your requested DLI program, you will receive new approval email for the DLI program with your next steps for registration/transfer.
I would like to list the non-DLI School Choice for the same campus.*
Non-DLI School Choice*
CHANDLER ONLINE ACADEMY (COA)-ELEMENTARY STATEMENT

COA-Elementary is an "at-home" online instructional model that offers both synchronous (live instruction) and asynchronous (independent work). The program is designed to offer general education content for Kindergarten-6th grade students with an accelerated Math content for students who qualify. Specialized services for students will be based on Individualized Education Plan and the ability to provide our students with an environment that best meets their needs. Consultative Gifted Services will be available for students who qualify. Self-contained Gifted Services will only be available in-person. In addition, Preschool, Dual Language Immersion and CTA Curriculum will only be offered in-person at a variety of our school sites.
ELITE PERFORMANCE ACADEMY WRONG GRADE LEVEL STATEMENT

The Elite Performance Academy does not offer Kindergarten-2nd grade instruction. Please select a different school.
SANTAN (K-6TH) STATEMENT

Santan Elementary (Kindergarten-6th) and Santan Junior High (7th & 8th) are two different schools that have two different bell schedules, even though they share the same property.

Elementary Open Enrollment Application 2024-25

Reason for Category 1 Selection(s)
Select the reason for your request for Category 1 School Choice transfer.*
Explain your request for the Category 1 School Choice transfer.*

0/40

Elementary Open Enrollment Application 2024-25

Category 2 School Choice Interest

Gifted Curriculum

If you have an interest in your child participating in our self-contained Gifted Curriculum Program, which fills up quickly, select "Yes" below. Your child will need qualifying scores for assignment.
I would like to request a school in Category 2 for self-contained Gifted Education.*

Elementary Open Enrollment Application 2024-25

Category 2 School Choice Selection

CUSD is fortunate to have three different models to meet the needs of students who are identified as gifted. We offer consultative services at all elementary schools, self-contained satellite classrooms and a school-wide self-contained program. You can view a description of these models by clicking here.

Your Category 2 request cannot be reviewed for Gifted Education until Gifted Test scores have been submitted.
Gifted School Choice*
I CURRENTLY have a child attending this Gifted School Choice AND they will attend this school next year.*
Gifted School Choice sibling name/current grade*
GIFTED WRONG GRADE LEVEL STATEMENT

You selected a school that does not offer Kindergarten-2nd grade Gifted instruction. Please select either Knox Gifted Academy or Weinberg Gifted Academy before you move to the next page.

Elementary Open Enrollment Application 2024-25

Gifted Test Information

Your Category 2 request cannot be reviewed for Gifted Education until Gifted Test scores have been submitted.
My child has Gifted Test scores.*
You indicated your child does not have Gifted Test scores. Acknowledge the following statement:*

I have 30 days to have my child tested and submit scores.
My child's Gifted Test scores are on file with Chandler Unified's Gifted Education office.*
I have Gifted Test scores from another school district or private tester to attach.*
NOTE: If you don't attach the Gifted Test scores now, you will have 30 school days to submit the Gifted Test scores to CUSD. Information on how to submit the Gifted Test Scores will be in your email confirmation.
GIFTED TEST SCORES STATEMENT

You indicated you do not have Gifted Test scores to attach to this application. Instructions on how to provide the scores to CUSD will be in your email confirmation.

Elementary Open Enrollment Application 2024-25

Gifted Test Scores

You indicated you have the Gifted Test scores to attach to this application. Make sure the file is saved with your child's name. A PDF is preferred.

For example:
- John Doe Gifted Test Scores
*The document MUST be titled with your child's first and last name along with the file name. Only submit the required documents.
Gifted Test Scores Upload

CLICK HERE to upload your child's Gifted Test scores. You will be able to select multiple documents during this process.

Elementary Open Enrollment Application 2024-25

Reason for Category 2 Selection(s)
Explain your request for the Category 2 Gifted Education transfer.*

0/40
GIFTED EDUCATION SCHOOL CHOICE REVIEW CRITERIA

Your Category 2 request for a gifted program transfer will be considered by the date and timestamp of the Open Enrollment Application, if Student Services - Gifted Education has your child's Gifted Test Scores on file or you have attached them to this application from another school district or private tester.

If your child takes a Gifted Test after the submission of this Open Enrollment Application, the date of the Gifted Test Scores will supersede the Open Enrollment Application date.

Please review your email confirmation for further information.

Elementary Open Enrollment Application 2024-25

Student Services

Special Education | 504 Accommodation Plan
My child currently RECEIVES Special Education services or WILL NEED to participate and receive Special Education services.*
My child HAS an IEP.*
My child is in the process of an evaluation through Child Find to determine if my child MAY need an IEP.*
My child's IEP is on file with Chandler Unified's Special Education office.*
I have the full IEP and psychoeducational from another school district to attach.*
IEP STATEMENT

You indicated you do not have the full IEP and psychoeducational report to attach to this application. You will have 5 school days to submit them. Instructions on how to provide the full IEP and psychoeducational report to CUSD will be in your email confirmation.

Elementary Open Enrollment Application 2024-25

IEP

You indicated you have the full IEP and psychoeducational report to attach to this application. Make sure the file is saved with your child's name. A PDF is preferred.

For example:
- John Doe IEP
*The document MUST be titled with your child's first and last name along with the file name. Only submit the required documents.
IEP Upload

CLICK HERE to upload your child's full IEP and psychoeducational report. You will be able to select multiple documents during this process.

Elementary Open Enrollment Application 2024-25

504 Accommodation Plan
My child has a 504 Plan.*
My child's 504 Plan is on file with a Chandler Unified school.*
I have the 504 Plan from another school district to attach.*
NOTE: If you don't attach the 504 Plan now, you will have 5 school days to submit the 504 Plan to CUSD. Information on how to submit the 504 Plan will be in your email confirmation.
504 ACCOMMODATION PLAN STATEMENT

You indicated you do not have the 504 Accommodation Plan to attach to this application. Instructions on how to provide the 504 Accommodation Plan to CUSD will be in your email confirmation.

Elementary Open Enrollment Application 2024-25

504 Accommodation Plan

You indicated you have the 504 Plan to attach to this application. Make sure the file is saved with your child's name before you attach it to the application. A PDF is preferred.

For example:
- John Doe 504 Plan
*Each document MUST be titled with your child's first and last name along with the file name. Only submit the required documents.
504 Accommodation Plan Upload

CLICK HERE to upload your child's 504 Accommodation Plan. You will be able to select multiple documents during this process.

Elementary Open Enrollment Application 2024-25

Parent/Legal Guardian Information

Provide the name of the parent/legal guardian that is completing this application. One parent/legal guardian name only.
Parent/Legal Guardian First Name*
Parent/Legal Guardian Last Name*
Email*

Confirmation Emailexample@example.com
Phone Number*
Is either Parent/Legal Guardian a Chandler Unified School District employee?*
CUSD Employee First and Last Name of Parent/Legal Guardian*

First NameLast Name
Parent/Legal Guardian works at:*
Please read the statements below.

1. I acknowledge that transportation of the student is the responsibility of the parent/legal guardian. CUSD bus transportation is NOT provided.

2. I acknowledge that record of excessive absences or truancies in this District or any other public or private school may result in the application being denied or admission being revoked.

3. I acknowledge that excessive absences, tardiness or negligence by the parent/legal guardian in sending the student to school may result in loss of the student's Open Enrollment at the end of the school year.

4. I acknowledge that providing false information or submitting multiple applications, online will result in the application(s) being denied or admission being revoked.

5. I acknowledge that it is expected that the student on an Open Enrollment remain at the requested school for the entire school year. Revoking an Open Enrollment requires district approval.

Per CUSD Governing Board Policy - JFB - Open Enrollment
I have read the statements above.*

I agree
Electronic Signature (Placing your name in the box below will be considered an electronic signature that you agree to and accept these conditions.)*
MISC
Early Kinder Qualified
Early Kinder Assessment Date

MonthDayYear
Date
Early Kinder Program
District Comments
APPLICATION STATUS
CATEGORY 1 - STATUS
Category 1 Cancelled Reason
Category 1 Cancelled Date

MonthDayYear
Date
CATEGORY 2 - STATUS
Category 2 Cancelled Reason
Category 2 Cancelled Date

MonthDayYear
Date
Should be Empty:

Elementary Open Enrollment Application 2024-25

This is not a school registration form. Your Open Enrollment Application MUST be approved before the registration/transfer occurs.

Your family must live in the State of Arizona to complete an Open Enrollment Application.

Priority Information

Elementary Open Enrollment Application 2024-25

School Choices

Elementary Open Enrollment Application 2024-25

Category 1 School Choice Selection

Elementary Open Enrollment Application 2024-25

Reason for Category 1 Selection(s)

Elementary Open Enrollment Application 2024-25

Category 2 School Choice Interest

Elementary Open Enrollment Application 2024-25

Category 2 School Choice Selection

Elementary Open Enrollment Application 2024-25

Gifted Test Information

GIFTED TEST SCORES STATEMENT

Elementary Open Enrollment Application 2024-25

Gifted Test Scores

Elementary Open Enrollment Application 2024-25

Reason for Category 2 Selection(s)

Elementary Open Enrollment Application 2024-25

Student Services

IEP STATEMENT

Elementary Open Enrollment Application 2024-25

IEP

Elementary Open Enrollment Application 2024-25

Special Education Services Selection

Elementary Open Enrollment Application 2024-25

504 Accommodation Plan

504 ACCOMMODATION PLAN STATEMENT

Elementary Open Enrollment Application 2024-25

504 Accommodation Plan

Elementary Open Enrollment Application 2024-25

Parent/Legal Guardian Information