Out of District Application
Solomon JR-SR High School Phone: 785.655.2551 Fax: 785.655.3011 Website: www.usd393.net Twitter: @SolomonMSHS
Solomon JR-SR High School 409 North Pine Street Solomon, KS 67480 Principal: Dustin Dooley
OUT-OF-DISTRICT APPLICATION SOLOMON USD 393 Please fill out the following information and return to: Solomon Middle-High School, USD 393 409 North Pine St. Solomon, KS 67480 Phone 785.655.2551 ----- Fax 785.655.3011
Date of Application: _____ / _____ / _____
ONLY COMPLETE IF YOUR STUDENT LIVES OUTSIDE OF USD 393
Application for the 20 ____ - 20 _____ school year
Student’s Legal Name: _______________________________________________________________________ Last
First
Grade Level
Current School
Birth Date
Student’s Legal Name: _______________________________________________________________________ Last
First
Grade Level
Current School
Birth Date
Student’s Legal Name: _______________________________________________________________________ Last
First
Grade Level
Current School
Birth Date
Please list all other schools attended this past school year for each student: ____________________________________ __________________________________________________________________________________________________ Has the student(s) been suspended or expelled?
Yes ______
No ______
Parent or Lawful Custodian’s Name: ____________________________________________________________________ Address or Legal Residence:
_____________________________________________________________________ _____________________________________________________________________ City: ___________________
State: _____
Zip Code: ___________
Please provide reasons your child(ren) wish to attend USD 393: ______________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ The undersigned parent or lawful custodian acknowledges that the statements and information above are true and correct; that this request, if approved, will be valid only for the school year indicated above; and agrees to abide by the provisions of the Board Policy. We do hereby acknowledge we reside outside district boundaries and it is understood that it is our responsibility to meet a USD 393 bus at a predetermined stop on an established bus route to the Attendance Center or provide our own transportation. Signature of Parent or Lawful Custodian: ____________________________________________ Date: _____ / _____ / _______ Solomon Middle and High School will prepare its students academically, socially, and physically with the knowledge and positive attitudes necessary to live successfully in a changing society.
Solomon JR-SR High School Phone: 785.655.2551 Fax: 785.655.3011 Website: www.usd393.net Twitter: @SolomonMSHS
Solomon JR-SR High School 409 North Pine Street Solomon, KS 67480 Principal: Dustin Dooley
Out of District Student Contract Students who apply for and are granted attendance privileges at Solomon USD #393 are not guaranteed the automatic right of attendance and enrollment. Because of our standards and expectations, the following measures must be maintained by all students who attend from beyond our district boundaries. 1. Attendance – Any out of district student who defines themselves as truant pursuant to USD #393 policy will immediately forfeit the opportunity to attend Solomon USD #393. All students are required to abide by compulsory attendance Kansas statues 72-977, 72-1111 and 72-1113, and must follow procedures for excused absences as outlined in the Solomon Junior and Senior High handbook. If a student is tardy to school more than 10 days or absent more than 15 days the students out of district status will be revoked. 2.
Discipline – All students in Solomon USD #393 are expected to be responsible and follow reasonable guidelines for behavior while attending Solomon USD #393. Students who attend Solomon USD #393 from outside the district must be students in good standing at all times or may forfeit the privilege of attendance. Students will undergo a discipline review quarterly to ensure that they are maintaining the highest level of integrity and behavior that is expected of all students.
3. Bullying – Out of district students who define themselves through their actions, words or technology pursuits as bullies may forfeit their opportunity to attend Solomon USD #393. Pursuant to Kansas Statue KSA 772-8205, bullying will not be tolerated from students in Solomon USD #393 and out of district students will risk their attendance privileges. 4. Academics – Out of district students agree to maintain a 2.0 grade point average at the end of each marking period, October, December, March, and May. Out of district students who do not maintain a 2.0 grade point average will have their admission to USD 393 revoked.
Out of district students may be approved to attend Solomon USD #393 within the adherence to these guidelines for attendance and behavior. Students and parents have the opportunity to understand this commitment and must signify that commitment by signature below. Without signature, USD #393 will not accept out of district requests.
Student Signature:
____________________________________________
Date: _____ / _____ / ______
Parent Signature:
____________________________________________
Date: _____ / _____ / ______
Administrator Signature ___________________________________________
Date: _____ / _____ / ______
Solomon Middle and High School will prepare its students academically, socially, and physically with the knowledge and positive attitudes necessary to live successfully in a changing society.
Solomon JR-SR High School Phone: 785.655.2551 Fax: 785.655.3011 Website: www.usd393.net Twitter: @SolomonMSHS
Solomon JR-SR High School 409 North Pine Street Solomon, KS 67480 Principal: Dustin Dooley
Solomon Middle and High School will prepare its students academically, socially, and physically with the knowledge and positive attitudes necessary to live successfully in a changing society.
Solomon JR-SR High School 409 North Pine Street Solomon, KS 67480 Principal: Dustin Dooley
OUT-OF-DISTRICT APPLICATION SOLOMON USD 393 Please fill out the following information and return to: Solomon Middle-High School, USD 393 409 North Pine St. Solomon, KS 67480 Phone 785.655.2551 ----- Fax 785.655.3011
Date of Application: _____ / _____ / _____
ONLY COMPLETE IF YOUR STUDENT LIVES OUTSIDE OF USD 393
Application for the 20 ____ - 20 _____ school year
Student’s Legal Name: _______________________________________________________________________ Last
First
Grade Level
Current School
Birth Date
Student’s Legal Name: _______________________________________________________________________ Last
First
Grade Level
Current School
Birth Date
Student’s Legal Name: _______________________________________________________________________ Last
First
Grade Level
Current School
Birth Date
Please list all other schools attended this past school year for each student: ____________________________________ __________________________________________________________________________________________________ Has the student(s) been suspended or expelled?
Yes ______
No ______
Parent or Lawful Custodian’s Name: ____________________________________________________________________ Address or Legal Residence:
_____________________________________________________________________ _____________________________________________________________________ City: ___________________
State: _____
Zip Code: ___________
Please provide reasons your child(ren) wish to attend USD 393: ______________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ The undersigned parent or lawful custodian acknowledges that the statements and information above are true and correct; that this request, if approved, will be valid only for the school year indicated above; and agrees to abide by the provisions of the Board Policy. We do hereby acknowledge we reside outside district boundaries and it is understood that it is our responsibility to meet a USD 393 bus at a predetermined stop on an established bus route to the Attendance Center or provide our own transportation. Signature of Parent or Lawful Custodian: ____________________________________________ Date: _____ / _____ / _______ Solomon Middle and High School will prepare its students academically, socially, and physically with the knowledge and positive attitudes necessary to live successfully in a changing society.
Solomon JR-SR High School Phone: 785.655.2551 Fax: 785.655.3011 Website: www.usd393.net Twitter: @SolomonMSHS
Solomon JR-SR High School 409 North Pine Street Solomon, KS 67480 Principal: Dustin Dooley
Out of District Student Contract Students who apply for and are granted attendance privileges at Solomon USD #393 are not guaranteed the automatic right of attendance and enrollment. Because of our standards and expectations, the following measures must be maintained by all students who attend from beyond our district boundaries. 1. Attendance – Any out of district student who defines themselves as truant pursuant to USD #393 policy will immediately forfeit the opportunity to attend Solomon USD #393. All students are required to abide by compulsory attendance Kansas statues 72-977, 72-1111 and 72-1113, and must follow procedures for excused absences as outlined in the Solomon Junior and Senior High handbook. If a student is tardy to school more than 10 days or absent more than 15 days the students out of district status will be revoked. 2.
Discipline – All students in Solomon USD #393 are expected to be responsible and follow reasonable guidelines for behavior while attending Solomon USD #393. Students who attend Solomon USD #393 from outside the district must be students in good standing at all times or may forfeit the privilege of attendance. Students will undergo a discipline review quarterly to ensure that they are maintaining the highest level of integrity and behavior that is expected of all students.
3. Bullying – Out of district students who define themselves through their actions, words or technology pursuits as bullies may forfeit their opportunity to attend Solomon USD #393. Pursuant to Kansas Statue KSA 772-8205, bullying will not be tolerated from students in Solomon USD #393 and out of district students will risk their attendance privileges. 4. Academics – Out of district students agree to maintain a 2.0 grade point average at the end of each marking period, October, December, March, and May. Out of district students who do not maintain a 2.0 grade point average will have their admission to USD 393 revoked.
Out of district students may be approved to attend Solomon USD #393 within the adherence to these guidelines for attendance and behavior. Students and parents have the opportunity to understand this commitment and must signify that commitment by signature below. Without signature, USD #393 will not accept out of district requests.
Student Signature:
____________________________________________
Date: _____ / _____ / ______
Parent Signature:
____________________________________________
Date: _____ / _____ / ______
Administrator Signature ___________________________________________
Date: _____ / _____ / ______
Solomon Middle and High School will prepare its students academically, socially, and physically with the knowledge and positive attitudes necessary to live successfully in a changing society.
Solomon JR-SR High School Phone: 785.655.2551 Fax: 785.655.3011 Website: www.usd393.net Twitter: @SolomonMSHS
Solomon JR-SR High School 409 North Pine Street Solomon, KS 67480 Principal: Dustin Dooley
Solomon Middle and High School will prepare its students academically, socially, and physically with the knowledge and positive attitudes necessary to live successfully in a changing society.
