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Application for Admission of Non-Resident Student

Click on the Tiger to View Policy "JFBB-R" on Inter-District Choice/Open Enrollment

Thank you for your interest in Bennett School District 29J!

Please complete the following Student and School information on the form below. Required fields are marked with an asterisk *. If you have any questions please contact:

Sarah Prado

720 500 1495 Ext 7216

[email protected]

Please note that all Non-Resident Applications will be put on an automatic waiting list and will not be processed until September of the current school year. This is to ensure that we have enough room for our in-district students first. Once we have accurate numbers within our schools, we will then begin looking at non-resident applications. Please refer to our board policy "JFBB-R" for Inter-District Choice/Open enrollment (click on the Tiger above to view). If you have any questions, please call or email Sarah Prado at the number listed above.

Approval/ Denial of enrollment will be based on current enrollment numbers for our Bennett classes/grades and your students current attendance, grades and behavior.

Please select the school year you are applying for:*

Answer required for "Please select the school year you are applying for:"

2024/2025 School Year

2025/2026 School Year

STUDENT INFORMATION

First Name*

Answer required for "First Name"

Middle Name If your student has no middle name please use NMN *

Answer required for "Middle Name If your student has no middle name please use NMN "

Last Name*

Answer required for "Last Name"

Birth Date*

Answer required for "Birth Date"

Current Grade Level*

Current Grade Level or if applying for the following year, what grade level would that student be in.

Answer required for "Current Grade Level"

Mailing Address

P.O. Box*

Answer required for " P.O. Box"

City*

Answer required for "City"

Zip/Postal*

Answer required for "Zip/Postal"

Physical Address (if different from Mailing Address)

Street Address*

Answer required for "Street Address"

City*

Answer required for "City"

Zip/Postal

Answer required for "Zip/Postal"

Parent/Gaurdian Contact Information

First Name*

Answer required for "First Name"

Last Name*

Answer required for "Last Name"

Email 1*

Answer required for "Email 1"

Primary Phone*

Number Required

Secondary Phone

Number Required

CURRENT SCHOOL INFORMATION

Current School Name*

Answer required for "Current School Name"

Dates From/To (Month & Year)*

Answer required for "Dates From/To (Month & Year)"

Phone Number*

Number Required

Mailing Address of School

Street Address

Answer required for "Street Address"

City*

Answer required for "City"

Zip/Postal

Answer required for "Zip/Postal"

Name of Principal*

Answer required for "Name of Principal"

PREVIOUS SCHOOL INFORMATION

Name of Previous School (if applicable)

Answer required for "Name of Previous School (if applicable)"

Dates From/To (Month & Year)

Answer required for "Dates From/To (Month & Year)"

Address of Previous School

Mailing Address of School

Answer required for "Mailing Address of School"

City

Answer required for "City"

Zip/Postal

Answer required for "Zip/Postal"

Phone Number

Number Required

Name of Principal

Answer required for "Name of Principal"

ATTENDANCE/DISCIPLINE INFORMATION

The following questions pertain to the student listed above.

Is this student currently suspended from any public or private school?*

Answer required for "Is this student currently suspended from any public or private school?"

Yes

Is this student currently Expelled from any public or private school?*

Answer required for "Is this student currently Expelled from any public or private school?"

Yes

How many school days has this student missed in the past 12 months?*

Answer required for "How many school days has this student missed in the past 12 months?"

How many were excused absences?*

Answer required for "How many were excused absences?"

How many were unexcused absences?*

Answer required for "How many were unexcused absences?"

EXTRA-CURRICULAR ACTIVITIES

Please list any extra-curricular activities in which this student participates in.

Answer required for "Please list any extra-curricular activities in which this student participates in."

Is there any additional information or explanations that you would like to supply?

Answer required for "Is there any additional information or explanations that you would like to supply?"

Please explain why you wish to have your student attend Bennett School District 29J?*

Answer required for "Please explain why you wish to have your student attend Bennett School District 29J?"

FOR OFFICE USE ONLY

Notes from Adminstrator:

Approval of non-resident student enrollment

FOR OFFICE USE ONLY

Answer required for "Approval of non-resident student enrollment"

Yes

Signature of Administrator____________________________________________ Date_____________________

Confirmation Email

Confirmation Email *

Answer required for "Confirmation Email"