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Inter Open Enrollment (Instance: new, Process: Student_Registration, Version: 1, Step: 31)
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Instructions:
Please only complete this form for INTER-District Open Enrollment.
All fields in red require input.
Click on "Send" button when complete.
DEFINITIONS:
INTER-District Open Enrollment -- Student lives outside of the Dover City School District and wants to attend Dover City Schools.
INTRA-District Open Enrollment -- Student lives in the Dover City School District and is requesting to attend a Dover elementary
that is different from his/her attendance area.
Student Information
Please note that it is the District's right to assign students to a particular building.
 
As appears on Birth Certificate
As appears on Birth Certificate
As appears on Birth Certificate
 
 
 
Please Check All that Apply
*one selection is required.
  
  
  
  
  
 
 
Student Residence / Home
 
Previous Education
 
 (mm/dd/yyyy)
 
Please Check All that Apply
  
  
  
  
 
Please Check All that Apply
  
  
  
 
Parent/Guardian/Custody Information
Please Check All That Apply:
(Please check at least one)
  
  
  
  
  
  
  
  
Primary Contact
Primary contact is the person (or persons) responsible for the regular care of the student and to whom the school may send school-related correspondence. The primary contact is also the first point of contact for the school in the unlikely event that the child is injured or becomes ill while at school. In general, the Primary Contact refers to the parent(s) or guardian(s) of the student.
  
 
Phone Number(s)
Phone Type Phone Number
  Add row(s)  Delete selected row(s) 
To add row click on +
to delete select checkbox for row and click on -
 
 
Please Check All that Apply
  Please ONLY choose this if this contact is Parent or Legal Guardian
  
  
  
  
Signature
I hereby certify that the statements and information in this application form are true and correct to the best of my knowledge.