West Clermont Local Schools

WEST CLERMONT LOCAL SCHOOLS ACCEPTING APPLICATIONS FOR ADMISSIONS OF INTERDISTRICT OPEN ENROLLMENT Second week of April through the second week of June annually. April 7 through June 13, 2014

Interdistrict Open Enrollment Applications available at the District Office, Central Enrollment, at 4350 Aicholtz Road, Suite 220 or online at www.westcler.org

Applications must be submitted in person at the Superintendent’s Office 4350 Aicholtz Road, Suite 220 Monday-Friday 8:00 a.m.-4:00 p.m.

Application cut-off deadline is June 13, 2014, 4:00 p.m.

Application Process

1. Application approval: Request will be acted upon (approved or denied) by June 28, 2013 with notification via letter from the Superintendent.

2. Applications must be submitted for interdistrict open enrollment on the official school district open enrollment form and submitted in person.

3. A separate application form must be submitted for each student who requests an interdistrict transfer.

4. Approval of students for open enrollment is at the discretion of the Superintendent in accordance with the District’s policies and administrative regulations.

5. A transition meeting must be held with the Superintendent/Designee, Principal and the family.

6. No interdistrict transfer will be permitted if the enrollment of the grade level being requested exceeds District capacity limits and educational program limits.

7. West Clermont Local School District will assume no responsibility for the transportation of students.

8. Applications shall be on a first-come, first-serve basis (date/time of receipt) with an assurance that the following order for placement will be followed.

A. West Clermont resident students will not be displaced B. Students who are currently enrolled in the West Clermont Local School District C. Children of employees D. Students who are members of the same family unit pursuant to Interdistrict Open Enrollment Policy E. Tuition students

For more information, call 943-5000 or visit our website: www.westcler.org WEST CLERMONT LOCAL SCHOOL DISTRICT Date/time received: INTERDISTRICT OPEN ENROLLMENT APPLICATION

Date of application ______

Grade Level for Current School Year ______Grade Level for Next School Year ______

Name of Student ______Birth Date ______

Parent/Guardian’s Name ______Phone Number ______

Cell Phone ______

Address ______City ______Zip ______

Current School District ______Current School Building ______

School District of Residence ______

Special Education Classes/Service Required? YES NO

Type of Program ______

School Request (Circle one — There is no guarantee of building choice. Placement will be determined by class size.)

Amelia Elementary Merwin Elementary Amelia Middle (6-8)

Brantner Elementary Summerside Elementary Glen Este Middle (6-8)

Clough Pike Elementary Willowville Elementary Amelia High (9-12)

Holly Hill Elementary Withamsville-Tobasco Elementary Glen Este High (9-12)

Has this applicant been expelled or suspended from school? YES NO

*FOR HIGH SCHOOL STUDENTS ONLY GRADE LEVEL ______

*Number of current high school credits ______Transcript Received ______

*If specific high school courses or special classes are desired, please list below:

______

______*By Ohio High School Athletic Association (OHSAA), when students transfer from one school to another without changing residency, students are ineligible for athletics for one year, unless the student meets one of the OHSAA specified exceptions. Please contact the Athletic Director.

Why do you want your child to attend West Clermont Schools?

______

I certify that all information contained in this application is true and complete, and I understand that the falsification of any of the above information will void this application and/or the enrollment of my child in the West Clermont Local School District.

Signature of Parent/Guardian ______Date ______

------

FOR OFFICE USE ONLY

Received by ______

Title ______

Mandatory transition meeting between the Superintendent or designee and building principal.

Meeting Date ______

Approved ______Rejected ______

Reason(s) ______

Signature of Superintendent ______Page 2 of 2