[PDF] PI-9410 Open Enrollment Application Form

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202 Open Enrollment Application FormInstructions for Completion

Wisconsi

n

Department

of P ublic Instruction

PI-9410 (Rev.

0 1 -2

) NOTICE: You may apply for open enrollment online at https://dpi.wi.gov/oe The online application will be available from

midnight February 20, until 4:00 p.m. April , 202. Online is recommended, if possible. If you are not able to

apply online, you may apply with a paper form, as follows. However, you should not submit both online and

paper application. separate application form for each pupil.

ead ll nstructions arefully. Missing or inaccurate information can cause problems handling the application

and may even cause an approved open enrollment to be voided at a later date. If you have any questions, contact

the open enrollment coordinator at the school district to which you are applying, or call an open enrollment c onsultant at the

Department of Public Instruction at 888

-2 45

-2732, option 2. Pupil's Legal Name: Provide the pupil's first name, middle name, and last name. Use the pupil's legal name for all

applications f or t his pupil. Provide the pupil's birthdate (month, day, year) and gender. Daytime Phone: Provide a home phone number and a work phone number (if applicable).

Mailing

A ddress a nd S treet Address:

The mailing address

i s w her e you receive your mail. This is where the notices of a pproval or d enial w ill be sent. I f your mailing address is a post office box or different than where you actually live, also provide your s treet address. Email A ddress:

Provide

a n email address. Grade: Indicate the pupil's grade in the and 202-2 school years.

The open enrollment law limits the ability of pupils to participate for prekindergarten, four-year-old kindergarten, and

early c hildhood education. o participat e i n thes e programs, t he pupil's r esident s chool di strict must offer the same ty pe of progr am and t he pupil must b e eligible for t he progr am in r esident s chool di strict. If you r resident s chool district does not offer prekindergarten or four -year-old kindergarten, your application will be denied.

Optional. Race/Ethnicity: Indicate the pupil's race/ethnicity. You may indicate all categories that apply to the pupil.

Nonresident Sc

hool D istric t: This is t he s chool district y ou want y our c hild to attend. Y ou may a pply t o no more than thr ee nonresident s chool d istricts f or e ach pupil If y ou submit app lications to more than three school districts, allapplications will be declared invalid.If you are applying to a virtual c harter school, check t he box where indicated. . A separate application mustbe submitted to each nonresident school district to which y ou are applying to attend a virtual charter school.

Resident School District: This is the school district in which you will reside in the school year. You must

indicate a resident s chool d istrict; and the resident s chool d istrict mus t be the same on all app li cation s y ou submit. D o not leav e this spac e blank, do not write "unknown," and do not indicate more than one resident school district. If you are planning to move, indic ate the school district in which you expect to reside on September 1, 202. If y ou do not k now t he school dis trict i n which your h ome is l ocated, c ontact t he municipal clerk in your municipality to fi nd out T hen verify by c alling the resident s chool di strict. If y ou are not squotesdbs_dbs35.pdfusesText_40

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