Student Enrollment and Residency Verification Form

Collects the minimum necessary student, guardian, residency, and required record information to determine enrollment eligibility and verify district residency.

Submission Notice and Consent

• I consent to the school reviewing the documents and information submitted for enrollment and residency verification.
• Preferred contact method
• Email address
• Phone number
• What are you submitting today?

Student Information

• Student full name
• Student date of birth
• Grade level
• Student ID, if known

Parent or Guardian Information

• Parent or guardian full name
• Relationship to student
• Guardian email address
• Guardian phone number

Residency Verification

• Street address
• Apartment, unit, or suite
• City
• State or province
• Postal code
• Residency situation
• Explain your residency situation
• Upload proof of residency documents
  Examples may include a lease, utility bill, mortgage statement, or official correspondence showing the current address.

Required Records and Supporting Documents

• Which records are you providing?
• Describe other records
• Upload supporting documents
  Upload any additional records needed for enrollment review.
• If any required record is unavailable, explain why

Certification and Submission

• I certify that the information provided is accurate and complete to the best of my knowledge.
• Electronic signature
• Date signed