ST. CLAIR PUBLIC SCHOOLS NONRESIDENT AGREEMENTNonresident Agreement • August 7th, 2014
Contract Type FiledAugust 7th, 2014Student Last Name First Name Middle Initial School Yr 20 - 20 Grade Student Address City Zip Code Student Racial/Ethnicity (check one only) Student Birthdate MM/DD/YYYY Gender American or Asian or Hispanic Black, not White, not Alaska Native Pacific Islander Hispanic Origin Hispanic Origin Male Female Parent/Guardian Last Name First Name Middle Initial PhoneH:W: Parent Address (if different from student’s) City Zip Code Reason this transfer is requested: Military-Connected Youth YES NO Serving School District St. Clair Public School Dist. # 75 School Student Would Attend Effective Date of Transfer / / Handicap Services YES NO Resident School District Dist. # School Transferred From Signature of Parent/Guardian X The above information is true and correct to the best of my belief and knowledge.