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Run: Student Enrollment and Residency Verification Form

Student Enrollment and Residency Verification Form for collecting the minimum necessary student, guardian, address, and record details needed to confirm elig...

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Submission Notice and Consent

I consent to the school reviewing the documents and information submitted for enrollment and residency verification. (required)

Yes No N/A

Preferred contact method (required)

Email address

Phone number

What are you submitting today? (required)

Student Information

Student full name (required)

Student date of birth (required)

Grade level (required)

Student ID, if known

Parent or Guardian Information

Parent or guardian full name (required)

Relationship to student (required)

Guardian email address

Guardian phone number (required)

Residency Verification

Street address (required)

Apartment, unit, or suite

City (required)

State or province (required)

Postal code (required)

Residency situation (required)

Explain your residency situation (required)

Upload proof of residency documents (required)

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? (required)

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. (required)

Yes No N/A

Electronic signature (required)

Date signed (required)

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Email (required)

Your name (optional)

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