Professional Documents
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279
IN OSSEO AREA SCHOOLS 12-21-05
School Currently Attending or Last Attended Grade (as of today’s date) Special Needs (optional)
Resident District, if other than ISD 279 Osseo Area Schools City
District of Choice
I.S.D. 279 - Osseo Area Schools
Reason for Request (This does not affect authorization of this request.) List requested school(s) choice(s) in order of priority
1. ___________________________________________________
2. ___________________________________________________
Requested Student Enrollment Start Date
3. ___________________________________________________
Is the student currently expelled from any school district for
Possession of a dangerous weapon? No Yes
Possessing, using, selling, or soliciting the sale of an illegal drug or controlled substance? No Yes
Committing a third-degree assault? No Yes
If you answer yes to any of these questions, the District will not authorize your application.
Per School Board Policy 558, enrollment may be terminated if a student is truant from school.
_________________________________________________________________________ _________________________________
Signature – Parent/Guardian Date