Out of District Application

SKYLINE SCHOOLS USD 438

Out of District Application
Today's Date:*

MonthDayYear
Date
Email*
example@example.com
What day would you like your student/s to begin at Skyline?*

MonthDayYear
Date
Student/s you are wishing to enroll:
Student #1*

First NameLast Name
Student #1 Age*
Student #1 Gender*
Student #1 Date of Birth*

MonthDayYear
Date
Student #1 Grade*
Student #1- School Presently Attending*
Student #2

First NameLast Name
Student #2 Age
Student #2 Gender
Student #2 Date of Birth

MonthDayYear
Date
Student #2 Grade
Student #2- School Presently Attending
Student #3

First NameLast Name
Student #3 Age
Student #3 Gender
Student #3 Date of Birth

MonthDayYear
Date
Student #3 Grade
Student #3- School Presently Attending
Student #4

First NameLast Name
Student #4 Age
Student #4 Gender
Student #4 Date of Birth

MonthDayYear
Date
Student #4 Grade
Student #4- School Presently Attending
Student #5

First NameLast Name
Student #5 Age
Student #5 Gender
Student #5 Date of Birth

MonthDayYear
Date
Student #5 Grade
Student #5- School Presently Attending
Parent Information
Father's Name

First NameLast Name
Father's Place of Employment
Father's Work Phone
Please enter a valid phone number.
Father's Address (including state)
Father's Home Phone
Please enter a valid phone number.
Mother's Name

First NameLast Name
Mother's Place of Employment
Mother's Work Phone
Please enter a valid phone number.
Mother's Address (including state)
Mother's Home Phone
Please enter a valid phone number.
Other information needed:
Names and Date of Birth of other children at home.
Reason(s) for application*
The following criteria is reviewed annually: Attendance, Behavior, and Academics

Are any of the above named students for whom admission is sought:
Under suspension or expulsion or in discipline trouble at the present school in this current school year or last school year?*

YesNo
If yes, which student(s)?
Maintaining less than a C+ grade average?*

YesNo
If yes, which student(s)?
Deficient in credits corresponding to their year in school?*

YesNo
If yes, which student(s)?
Please indicate the approximate number of days child(ren) have been absent during the current year and previous year of school
Current Year*
Previous Year*
The digital signature below indicates the above information is current to the best of the parent's knowledge, and that authorization is given to investigate the school records and school progress of the above named student(s) for whom admission is sought by whatever means deemed necessary by USD 438 personnel.
Today's Date*

MonthDayYear
Date
Signature*

Clear
Parent and School District relationships:
Knowing that a positive support relationship between the families of our students and the staff at Skyline Schools is an important part of the educational process, the Board requires all of our parents to follow its policy regarding bullying. Specifically, the Board's policy "prohibits bullying in any form either by any student, staff member, or parent towardsa student or by a student, staff member, or parent towards a staff member on or while using school property, in a school vehicle, or at a school-sponsored activity or event." The term "bullying" is defined by K.S.A. 72-8256 as set forth below:

K.S.A. 72-8256: Bullying, school district policies. (a) As used in this section: (1) "Bullying" means: (A) Any intentional gesture or any intentional written, verbal, electronic or physical act or threat that is sufficiently severe, persistent or pervasive that it creates an intimidating, threatening or abusive educational environment for a student or staff member that a reasonable person, under the circumstances, knows or should know will have the effect of: (i) Harming a student or staff member, whether physically or mentally; (ii) damaging a student's or staff member's property; (iii) placing a student or staff member in reasonable fear of arm to the student or staff member; or (iv) placing a student or staff member in reasonable fear of damage to the student's or staff member's property; (B) cyberbullying: or (C) any other form of intimidation or harassment prohibited by the board of education of the school district in policies concerning bullying adopted pursuant to this section or subsection (e) of K.S.A. 72-8205, and amendments thereto. (2) "Cyberbullying" means bullying by use of any electronic communication device through means including, but not limited to, e-mail, instant messaging, text messages, blogs, mobile phones, pagers, online games and websites. (3) "School vehicle" means any school bus, school van, other school vehicle and private vehicle used to transport students or staff members to and from school or any school-sponsored activity or event. (b) The board of education of each school district shall adopt a policy to prohibit bullying on or while utilizing school property, in a school vehicle or at a school-sponsored activity or event. (c) The board of education of each school district shall adopt and implement a plan to address bullying on school property, ina school vehicle or at a school-sponsored activity or event. Such plan shall include provisions for the training and education for staff members and students. (d) The board of education of each school district may adopt additional policies relating to bullying pursuant to subsection (e) of K.S.A. 72-8205, and amendments thereto.

By signing this agreement I agree to fully cooperate with the terms as set out above. I also understand that by failure to comply with the law that | understand the board of education may take the necessary steps to revoke this application and that the students covered by this application will no longer be able to attend school at USD#438 - Skyline Schools. Failure by the applicants to sign below will result in the automatic disqualification of this application for out of district membership.
Parents Signature*

Clear
Date*

MonthDayYear
Date
Parents Signature

Clear
Date

MonthDayYear
Date
Please attach copies of unofficial copy of current grades & attendance records for your child(ren) (screenshots work)

Cancelof
Should be Empty:

SKYLINE SCHOOLS USD 438

Student/s you are wishing to enroll:

Parent Information

Other information needed:

The following criteria is reviewed annually: Attendance, Behavior, and Academics

Please indicate the approximate number of days child(ren) have been absent during the current year and previous year of school

Parent and School District relationships: