EVSC Moved/Former Students

Please use the form below if you are a current Bosse student who has moved and you believe you are now in a new attendance district, or if you have most recently attended Bosse in the past and are now re-enrolling with the EVSC.


EVSC Moved/Former Student

Student Full/Legal Name: 

Birthdate:   

Student Address: 

City:    

State:   

Zip Code: 

Home Phone: 

Grade Level: 

Current/Most Recently Attended School: 

Have you moved and are now in a new school attendance district? 

If yes, please select your new school based on your new address, if known: 

If you have moved and are now in a new school attendance district, do you wish to remain at your "current/old" school through an adjustment transfer? 


Parents/Guradians 1 List parents/guardians living with student (i.e. mom & dad, mom & stepdad, etc.)

Relationship to Student: 

Name 1: 

Phone: 

Workphone: 

Email: 

 

Name 2: 

Phone: 

Workphone: 

Email: 


Parents/Guardian 2  List other parent household, if applicable. (Parents/Guardians not living with student.)

Relationship to Student: 

Name 1:  

Phone: 

Workphone: 

Email: 

 

Name 2: 

Phone: 

Workphone: 

Email: 


Emergency Contacts: 

Contact 1 Name: 

Phone Number: 

Relationship to student: 

 

Emergency Contact 2 Name: 

Phone: 

Relationship to student: 

 

Emergency Contact 3 Name: 

Phone: 

Relationship to student: 

 

Emergency Contact 4 Name: 

Phone: 

Relationship to student: 


Additional Enrollment Questions

1. Is there anyone, by court order, who is not allowed to pick up your student? If so, please list.(School must be provided legal documents in order to enforce if a person listed is a parent.)

Does your student have or receive: 

Is your student currently under expulsion/suspension from another school? 

Is your student interested in enrolling in the EVSC's Virtual Academy (online school) or New Tech Institute (high school)? If so, please check which one. 


Digital Access

Does your student have access to the Internet at home? 

Does your student have access to a device at home? 

If yes, how many devices do you have available at home for your student? (smartphone, laptop, ipad, etc.)  

Select the primary type of Internet service used at your student's home? 

Can your student stream a video on their learning device without interruption? 


By entering your name below, you confirm that the information shared above is true, correct and to the best of your knowledge. 

Parent Signature:       Date: 

 



Security Measure