Wilkes County Schools

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4000 Series - Students » 4150 Freedom of Choice Assignment Form

4150 Freedom of Choice Assignment Form

Freedom of Choice Assignment
 
Student’s Name:
 
Parent(s)/Guardian(s) Name:
 
Parent(s)/Guardian(s) Telephone Number:
 
Home:
 
Work:
 
Parent(s)/Guardian(s) Address:
 
City:
 
State:
 
Zipcode:
 
School Student Currently Assigned to:
 
School Student Would Like to Attend:
 
Grade:
 
Reason for Reassignment Request:
 
Parent(s)/Guardian(s) Signature:
 
Date:
 
Date Received by Principal:
 
 Request Approved
 
 Request Denied
 
Reason for Denial:
 
Principal’s Signature:
 
Date:
 
Reference Policy 4150 School Assignment