Nonresident AgreementNonresident Agreement • January 16th, 2018
Contract Type FiledJanuary 16th, 2018Student’s Last Name First Name Middle Name School Year Grade Student’s Address City Zip Code GenderM F Student Racial/Ethnicity (Check one only) American Indian Asian or Hispanic Black, not of White, not of Alaskan Native Pacific Islander Hispanic Origin Hispanic Origin Hispanic Origin Stu dent’s Birthday Mo . Day Yr. Parent or Guardian: Last Name First Name Middle Initial Phone:H:W: Parent Address (if different from student’s) City Zip Code Reason this transfer is requested SERVING School District Name District No School Student Would Attend Date Student Moved Mo. Date Year RESIDENT School District Name District No. School Most Recently Attended Signature of Parent/Guardian X The above information is true and correct to the best of my belief and knowledge. Date Signed