Request for Non-Resident Enrollment

Request for Non-Resident Enrollment
Please note: The following documentation must be submitted at the end of this form for the application to be considered.

For new applications only:
- Transcript
  - Unofficial Transcript or Academic History: Grades 9-12
  - Report Cards: Grades K-8
- Attendance
- Discipline records for past three years or as many years in school for early elementary)
For students previously enrolled in private school:
- Provide complete VISD Private School Student Information Form
Application Type*

New RequestRenewalVISD Employee
School Year Applying For*

2024-25 School Year2025-26 School Year
Student LEGAL Name*

First NameMiddle NameLast Name
Entering Grade*
School
Date of Birth*

MonthDayYear
Date
Gender*
Resident School District*

Seattle School DistrictHighline School DistrictKitsap School DistrictOther
Resident School*
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Does your student have any past, pending or current convictions of criminal activity?*

YesNo
Select all that apply to your student*

IEP504IHP - (Individual Health Plan)None
Has your student ever been suspended for a total of 10 days or more or expelled from their school?*

YesNo
Is your student currently, or previously, enrolled in Special Education?*

YesNo
Exit Date

MonthDayYear
Date
Is your student currently, or previously, enrolled in a gifted program?*

YesNo
Does your student have behavioral concerns at their current school?*

YesNo
Does your student require additional support (such as math or reading support) to be successful in the classroom?*

YesNo
Parent/Guardian 1 Name*

First NameLast Name
Parent/Guardian 1 Email*
example@example.com
Parent/Guardian 1 Phone*
Please enter a valid phone number.
Parent/Guardian 2 Name

First NameLast Name
Parent/Guardian 2 Email
example@example.com
I would like my child to attend school in the Vashon Island School District for the following reason*

A financial, educational, safety, or health condition affecting the student would be reasonably improved as a result of the transfer.Attendance at the school in the non-resident district is more accessible to the parent's place of work or to the location of childcare.There is some other special hardship or detrimental condition affecting the student or the student's immediate family which would be alleviated as a result of the transfer.
Additional information about the reason*
IEP Upload*

Cancelof
504 Upload*

Cancelof
IHP Upload*

Cancelof
Upload Required Documents*

Cancelof
- I have read VISD Policy 3141 and verify that my student meets admission criteria.
- I understand that the VISD provides transportation between the ferry docks and school only.
- For students grade 6-12, I attest that my student has the maturity and independence to ride the ferry with appropriate behavior and without adult supervision.
- I understand that if approved, this request for non-resident attendance will be valid for the approved school year only.
- I understand that VISD may revoke an approved non-resident request at any time if this application is found to be inaccurate, or if the student has problems with attendance, grades, discipline, or poses a risk of health or safety to themselves or to other VISD students or staff.
By signing below, I indicate my agreement with the terms and conditions of this application.
Signature*

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