Gooding Joint School District No. 231
OPEN ENROLLMENT APPLICATION DATE/TIME RECEIVED:
For School Year 20 – 20 Grade
This application form was prepared pursuant to Section 33-1402, Idaho Code, and may be used by any school district. Any other form must be approved the State Superintendent of Public Instruction.
NOTE: For out-of-district applicants, a copy of the applicant student’s cumulative record must be attached to this application. The cumulative record may be obtained from the student’s current school.
( ) Out-of-District Application Name of District ( ) In-District Transfer Application
Name of Proposed Receiving School (Some specialized programs are only offered in a limited number of schools, e.g. special education, English Language Learner, etc. Contact Gooding District Offices at 208-934-4321 for further information.)
Applicant Student’s Name
Date of Birth
School student is presently attending, or would attend if student were in a public school.
Name of School
Address of School
Present Grade Level of Student
Has the student ever been suspended or expelled from school or has the student committed a disciplinary violation for which he/she could be suspended or expelled? Yes No
Has the student had a history of disciplinary infractions? Yes No
If YES, describe the circumstances (including dates and duration)
Reason(s) for requesting attendance in this school (optional).
Special and/or unique instructional programs in which the applicant student is currently enrolled. (For example: vocational, foreign language, remedial, special education, gifted/talented, etc.)
Special and/or unique instructional programs in which the applicant student expects to
enroll in at the new school.
Extra-curricular activities in which the applicant wishes to participate
Transportation arrangements that will be made by the parent/guardian.
Home Phone Work Phone
I have read the school district procedure on open enrollment, and hereby request that my son/daughter be permitted to attend
(Name of Proposed Receiving School) Parent/guardian’s Signature:
Misrepresentation of information on this application may result in revocation of the applicant’s approval to attend a School District school.
In-District Transfer: (Home School)
Out-of-District Transfer: (Receiving School)