Avon Park High Park Elementary Hill-Gustat Middle Lake Placid High. Avon Park Middle Sun 'N Lake Elem. Sebring High Lake
SCHOOL BOARD OF HIGHLANDS COUNTY
CONTROLLED OPEN ENROLLMENT APPLICATION 2018-2019 SCHOOL YEAR
MIS 13.94 Rev 3/18
APPLICATION DEADLINE APRIL 13, 2018
A separate application is required for each available school of choice (multiple students in your household applying for the same school should be on same application). Please note that this application is for Controlled Open Enrollment applicants only.
This application is for: (Check only one box) Avon Park High
FIRST CHILD Student’s Name _________________________________________________________________ Grade in 2018-19 _________ (Last) (First) (Middle) Zoned School 2018-19 _______________________________________Current School 2017-18 _____________________________________ Is your child currently staffed in an Exceptional Education Program? ____No ____Yes Program:____________________________________
SECOND CHILD (if you have more than one child you are applying for at THIS school) Student’s Name _________________________________________________________________ Grade in 2018-19 _________ (Last) (First) (Middle) Zoned School 2018-19 _______________________________________ Current School 2017-18 ____________________________________ Is your child currently staffed in an Exceptional Education Program? ____No ____Yes Program:____________________________________
THIRD CHILD (if you have more than two children you are applying for at THIS school) Student’s Name __________________________________________________________________ Grade in 2018-19 _________ (Last) (First) (Middle) Zoned School 2018-19 _________________________________________Current School 2017-18__________________________________ Is your child currently staffed in an Exceptional Education Program? ____No ____Yes Program:___________________________________
Check the box if any of the following circumstances apply to your children included in this application: Dependent children of active duty military personnel whose move resulted from military orders? Children who have been relocated due to a foster care placement in a different school zone? Children who move due to a court-ordered change in custody due to a separation or divorce, or the serious illness or death of a custodial parent? * If you checked a box, please provide supporting documents to the office of Student Support Services on or before April 13, 2018, in order for your application to be considered for preference eligibility. PARENT STATEMENT: I have read the Controlled Open Enrollment Transfer requirements stated on the School Board of Highlands County website at: www.highlands.k12.fl.us. I understand that if this application is selected during the COE application lottery and my student(s) is enrolled in the COE school of choice. I am responsible for providing the transportation of my child to and from school. If any attendance, tardiness, or discipline issues occur during the school year the transfer may be revoked. I agree to abide by the policies of Highlands County School District. I testify that all of the information on this form is true and accurate. I am prepared to provide additional notarized documents if requested. I understand that failure to comply with these conditions, or falsification of any portion of the application will result in the denial or revocation of my request.
“ Under penalties of perjury, I declare that I have read the foregoing (document) and that the facts stated in it are true” PARENT/GUARDIAN SIGNATURE______________________________________________________ DATE _____________________
Completed form MUST be received in the Student Support Services office by April 13, 2018
