Submit form to the District where you live for approval.Nonresident Agreement • February 15th, 2017
Contract Type FiledFebruary 15th, 2017Student's Last Name First Name Middle Name School Year Grade Student's Address Apt. No City, State, Zip Code Student Racial/Ethnicity (check one only) Student's birthdate Gender □ American Indian or Alaskan Native □ Asian or Pacific Islander □ Hispanic □ Black, not of Hispanic Origin □ White, not of Hispanic Origin Mo Day Year Male □ Female □ Parent or Guardian's Last Name First Name Middle Init. CellPhone: Work Phone: Home Phone: Parent's Address (if different from student) Apt. No City, State, Zip Code Reason this transfer is requested: SERVING School District Name District # School Student Would Attend Date Student Moved Has student been receivingSpecial Education Services? Cloquet 94 Mo Day Year □ Yes □ No RESIDENT School District Name District # School Student Last Attended Signature of Parent/Guardian / / The above information is true and correct to the best of my belief and knowledge. Date
Submit form to the District where you live for approval.Nonresident Agreement • February 15th, 2017
Contract Type FiledFebruary 15th, 2017Student's Last Name First Name Middle Name School Year Grade Student's Address Apt. No City, State, Zip Code Student Racial/Ethnicity (check one only) Student's birthdate Gender □ American Indian or Alaskan Native □ Asian or Pacific Islander □ Hispanic □ Black, not of Hispanic Origin □ White, not of Hispanic Origin Mo Day Year Male □ Female □ Parent or Guardian's Last Name First Name Middle Init. CellPhone: Work Phone: Home Phone: Parent's Address (if different from student) Apt. No City, State, Zip Code Reason this transfer is requested: SERVING School District Name District # School Student Would Attend Date Student Moved Has student been receivingSpecial Education Services? Cloquet 94 Mo Day Year □ Yes □ No RESIDENT School District Name District # School Student Last Attended Signature of Parent/Guardian / / The above information is true and correct to the best of my belief and knowledge. Date