Non-Resident Application

 

 

Application Type:(Choose One)( **Please note: New and Renewal Applications are ONLY avaliable from April 1 - August 1 each year** )

New Non-Resident: Student is not currently attending this school.

(Available: April 1 - August1)

Renewal Non-Resident: Student has been attending this school and would like to return to this school next year. (Available: April 1 - August1)
Continuing Non-Resident: Student has been attending this school as a CCSD resident and has moved out of the district during the school year. (Available throughout the school year.)

 

Student Information:  (*Denotes a required field)

Last Name*

First Name*

Middle Name

Gender*

Birth Date* (MM/DD/YYYY)

Request School Year*

Request Year Grade*

Requested School*

CCSD Student ID

Current Grade

Current School

Current School District

Name of Dean

 

Reason(s) for this request* (Please limit response to 1000 charaters or less )

Please select Yes/No for each option below.*  Yes  No
Has this student been expelled from any school district in the last 12 months?
Is English the primary language spoken in the home?
Is the student currently in an English Language Acquisition (ELA/ESL/ELL) program?

Is the student staffed into Special Education (IEP)?**

If "Yes", please describe in the "Reason(s) for this request" box above

Is this student currently in an Alternative Program?

If "Yes", please describe in the "Reason(s) for this request" box above

**All Special Education transfers will be reviewed for program availability by Directors of Student Achievement Services.

***Transportation as a related service in the IEP/504 becomes the responsibility of the parent.***

 

Sibling Information: (*Denotes a required field)

Please select Yes/No for each option below.* Yes No
Do you have another child currently attending this school who will be attending this school next year?
Are you submitting an Non-Resident application to this school  for another sibling?
Would you withdraw this request if the other sibling(s) request were NOT   approved?

 

Parent/Guardian Information: (Please use all Current  Information ) (*Denotes a required field) 

Parent/Guardian Information:  

Parent/Guardian Name*

Email Address*

Home Address*

Apt/Unit#

City*

Zip Code*

Phone*

Is the parent/guardian currently employed by Cherry Creek Schools?*

Yes

No

       

 

Parent/Guardian Agreement: (*Denotes a required field)

  1. Approval of the request is  for ONE YEAR ONLY .  Lack of space or staffing needs may result in denial in subsequent years.  (Refer to District Policy: JFBB, Inter-District Choice )
  2. I will assume ALL responsibility for transportation to and from school.
    ***Transportation as a related service in the IEP/504 becomes the responsibility of the parent.***
  3. According to  Colorado High School Activities Association (CHSAA) policies, my student's eligibility for varsity level competition in sports may be affected at the high school level if this transfer is approved.
  4. If approved, this request is for the above-named student ONLY and does not include approval priority for siblings.
  5. In the event any information is falsified or withheld from the district during the admission process, approval for admission will be immediately withdrawn.

   

The requested school may ask parents to provide copies of middle and/or high school student transcripts.  

By signing below and clicking "Accept/Submit," you agree with all statements within the Parent/Guardian Agreement.  You also agree that all data is accurate to the best of your knowledge.

 

Electronic Signature (Please type full name)*