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Complete a separate form for each student you wish to enroll.

Student Information

Please select the school year for which you are applying:*
Student's Legal Name*
Student's Gender*
Student's Date of Birth*
Student's Race*
Student's Ethnicity*
Student's Current Grade Level*
Student's Anticipated Grade Level*
School*
If you are not sure which school your student will attend, please contact the Transportation Department at 765-482-1499.

High School Students

Education History

Please complete this section about any school in which the student was previously enrolled, if applicable.

Does the student receive special education services?*
Has the student previously been enrolled in another school?*

Previous School Information

Previous School Location

Parent/Guardian Information

Please complete for the primary parent/guardian. You will be able to add additional parents/guardians and emergency contacts during online student registration.

Parent/Guardian Name*
Parent/Guardian Address*

Required Documentation

The following documentation is required to enroll a student:

  • Verification of residency
  • Student's original birth certificate
  • Current immunization records
  • Student's transcript if student has earned high school credit (recommended, not required)
  • Guardianship documents (if applicable)

You may upload these documents below or provide them to your child's school prior to July 22, 2022.

Verification of Residency*
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File uploads may not work on some mobile devices.
Examples of acceptable documents may include a current utility bill, telephone bill, tax return, bank statement, mortgage statement, rental/lease agreement, medical bill, or similar information that provides a verifiable address. Documentation should be dated within 60 days of student enrollment, and the date should be clearly identified and readable on the copy on file for the student.
Student's Original Birth Certificate*
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File uploads may not work on some mobile devices.
Current Immunization Records
No File Chosen
File uploads may not work on some mobile devices.
Transcripts (if applicable)
No File Chosen
File uploads may not work on some mobile devices.
Guardianship Documents (if applicable)
No File Chosen
File uploads may not work on some mobile devices.
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