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School of Choice Enrollment Form

Welcome and thank you for choosing Westwood Community Schools.

Please fill out one form for each student that is applying

Student Information

Student First Name*

Answer required for "Student First Name"

Student Last Name *

Answer required for "Student Last Name "

Address

Street Address

Answer required for "Street Address"

City

Answer required for "City"

Zip/Postal

Answer required for "Zip/Postal"

Birthdate*

Answer required for "Birthdate"

Grade Last Completed

Answer required for "Grade Last Completed "

Grade Entering enrolling into.*

Answer required for "Grade Entering enrolling into."

Parent/Guardian living with the student.

Parent First Name

Answer required for "Parent First Name"

Parent Last Name

Answer required for "Parent Last Name "

Parent Email *

Answer required for "Parent Email "

Home Number

Number Required

Mobile Number

Number Required

Last school Attended

School

Answer required for "School "

Date Attended

Answer required for "Date Attended "

Phone Number

Number Required

If Yes, please provide the sibling's name.

First/Last Name

Answer required for "First/Last Name "

Failure to answer the following questions truthfully may result in denial of this application to Westwood Community Schools.

If yes, Reason, and date of suspension.

Answer required for "If yes, Reason, and date of suspension."

If Yes, Reason, and date of expulsion.

Answer required for "If Yes, Reason, and date of expulsion."

Has the student ever been voluntarily withdrawn from any school district prior to displinary action, as suspension or expulsion? **

Answer required for "Has the student ever been voluntarily withdrawn from any school district prior to displinary action, as suspension or expulsion? *"

If Yes, Reason and date of withdraw.

Answer required for "If Yes, Reason and date of withdraw."

**A District may refuse to enroll a nonresident applicant if the applicant is, or has been within the preceding 2 years, suspended from another school; or if the applicant has ever been expelled from another school.

I, authorize Westwood Community schools, to request behavior and attendance records from my child's previous school.

Please enter Parents/Guardian name

Answer required for "I, authorize Westwood Community schools, to request behavior and attendance records from my child's previous school. "

I agree that all information I have provided in this application is true and correct. I understand that providing any false information on this application may be sufficient grounds for denial.

Answer required for "I agree that all information I have provided in this application is true and correct. I understand that providing any false information on this application may be sufficient grounds for denial."

I agree

It is the policy of the Westwood Community School District that no discriminatory practices based on sex, race, religion, color, national origin, disability, height, weight, or any other status covered by federal, state or local law be allowed in providing instructional opportunities, programs, services, job placement assistance, employment or in policies governing student conduct and attendance. Any person suspecting a discriminatory practice should contact the Westwood Community schools 3335 S BeechDaly Rd, Dearborn Heights,MI 48125

Phone: 313-565-1900

Email:[email protected]Westwood Community School Distr