Open Enrollment Application

Open Enrollment Application
Open Enrollment application is for student(s) that want to attend a school outside of their zoned school of enrollment. Open Enrollment applications are approved or denied based on the number of students already enrolled in the grade level and school you wish your student to attend.

A new student enrollment form is also required to complete the enrollment process.

Questions? Contact Amanda Dahlstrom at 208-745-6693, ext 1120
In-District (live in JSD boundaries) or Out-of-District (live outside of JSD boundaries) application?*

In-districtOut of district
In District Open Enrollment?
Open enrollment applications must be submitted every school year. Is your student currently attending a JSD #251 school with an approved open enrollment application?*

YesNo
School Year*
Student Name*

First NameLast Name
Student Date of Birth

MonthDayYear
Date
Student Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Some educational programs are only offered in a limited number of school such as specific special education programs and English Language Learner programs. Contact the Director of Federal Programs for further information.
Proposed Receiving School*
Applying for School Year
Name of school student is currently attending, or would attend if student was in public school*
Address of School
Current grade level of student*
Has the student ever been suspended or expelled from school or has the student committed a disciplinary violation for which he/she could be suspended or expelled?*

YesNo
Describe the circumstances, including dates and duration of the suspension/expulsion.
Has the student had a history of disciplinary infractions?*

YesNo
Describe the incidents
Reason(s) for requesting attendance in this school *
Special and/or unique instructional programs in which the the applicant student is currently enrolled

None504 PlanGifted/TalentedForeign LanguageSpecial EducationEnglish Language LearnerVocationalOther
Describe the other instructional program.
Parent/Guardian's Name*

First NameLast Name
Parent/Guardian's Phone Number*
Please enter a valid phone number.
Email (enter your email twice for accuracy)*

Confirmation Emailexample@example.com
I have read the School Board policy 3010 - Open Enrollment Policy and hereby request that the above named student be permitted to atttend the school requested above. Submitting this form with count as your digital signature. Misrepresentation of information on this application may result in revocation of the applicant's approval to attend a Jefferson School District school.
Date Submitted*

MonthDayYear
Date
Please verify that you are human*
Should be Empty: