MDE Open Enrollment Application - Parent
Please complete this form as part of the open enrollment process if you reside outside of the Albany Area School District.
Student First Name:
*
Student Middle Name:
*
Student Last Name:
*
Will the student be at least age 5 and under age 21 by September 1 of the enrollment year or be applying for ECSE?
*
Yes
No
Student's current grade level (If applying for ECSE, write EC):
*
Please Select
ECFE
Preschool
Kindergarten
1
2
3
4
5
6
7
8
9
10
11
12
Grade Level Desired:
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Please Select
ECFE
Preschool
Kindergarten
1
2
3
4
5
6
7
8
9
10
11
12
Resident District Name:
*
Resident District Number:
*
Resident District City:
*
Identify the reason for the request to enroll in a nonresident district:
*
District of Choice Name:
*
District of Choice Number:
*
District of Choice City:
*
School Site or Program Preferences #1
*
Please Select
Albany Area Early Learning Center
Albany Elementary School
Avon Elementary School
Albany Area Middle School
Albany Area High School
School Site or Program Preferences #2
Please Select
Albany Area Early Learning Center
Albany Elementary School
Avon Elementary School
Albany Area Middle School
Albany Area High School
School Site or Program Preferences #3
Please Select
Albany Area Early Learning Center
Albany Elementary School
Avon Elementary School
Albany Area Middle School
Albany Area High School
When are you seeking to enroll your child?
*
Immediately
Not immediately, but sometime during the current school year
Next school year.
Special Situations - Please check all that apply.
Sibling preference: student has a sibling currently open-enrolled in this non-resident district.
Employee child preference: Student has parent or legal guardian who is a Minnesota resident who is an employee of the non-resident district.
Family move: The student's Minnesota resident district changed after December 1 prior to the school year requested, waiving deadlines.
Student is a resident of City of Edina but the resident school district for the student's Edina home is not Edina Public Schools. Student seeks enrollment in Edina Public Schools.
Student is requesting a move into and/or a move out of a district that receives Achievement and Integration Revenue, waiving deadlines. You can check here if you do not know the answer to this:
Student is currently expelled under Minnesota Statutes 2022, section 121A.45 for a reason listed in Minnesota Statutes 2012, section 124D.03, Subdivision 1, which allows but does not require the non-resident district to deny the application.
Parent/Guardian 1 - Name
*
First Name
Middle Name
Last Name
Parent/Guardian 1 - Home Phone:
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian 1 - Work Phone:
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian 1 - Cell Phone:
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian 1 - Email
*
example@example.com
Parent/Guardian 1 - Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian 2 - Name
First Name
Middle Name
Last Name
Parent/Guardian 2 - Home Phone:
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian 2 - Work Phone:
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian 2 - Cell Phone:
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian 2 - Email
example@example.com
Parent/Guardian 2 - Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Signature of Parent/Legal Guardian:
*
First Name
Last Name
Parent/Legal Guardian - Date:
*
-
Month
-
Day
Year
Date
Date Application Submitted:
*
-
Month
-
Day
Year
Date
Submit
Should be Empty: