UPPER GRAND DISTRICT SCHOOL BOARD
501-1
APPLICATION TO ATTEND A SCHOOL OUTSIDE OF THE HOME
SCHOOL ATTENDANCE AREA – SCHOOL YEAR ___________
APPLICATION PROCEDURE
It is the intent of Policy #501 that elementary and secondary students attend the school in their designated
attendance area for Regular, French Immersion, or Special Education Programs. Applications for a student to
attend a school out of the home area shall be evaluated on the basis of exceptional circumstances, space
availability, additional costs that may accrue to the Board, and/or the ability of the home or receiving school to
deliver a viable academic program. The following procedures are to be followed.
INITIAL APPLICATION
1.
Application to attend a school outside the Home School Attendance Area must be for reasons of
program or exceptional circumstances only.
2.
Parent(s)/Guardians(s) or the adult student who wishes to apply for Out of Area Attendance must complete
Part A of the Application to Attend a School Outside the Home School Attendance Area Form #501-1 and
submit it to the Principal of the home school.
3.
If the Principal of the home school recommends approval of the application, the Principal will complete Part
B of the form and communicate with the receiving school Principal before forwarding the form to the
appropriate Superintendent for approval.
4.
If either Principal does not recommend approval of the application, the home school Principal will complete
Part B of the form, recommending denial of the request, and forward it to the appropriate Superintendent for
decision.
5.
The Superintendent will send copies of the final decision to approve or deny the request to all parties
involved.
6.
In an elementary school, applications for a September placement MUST be submitted by the
parent/guardian prior to May 15th of the current school year. Final decisions will be communicated prior to
the end of the current school year.
7.
In a secondary school, applications should be submitted at least one week before the semester begins.
Final decisions will be communicated after considering the timetable placement of current students.
NOTE:
•
Permission to attend a school outside the designated attendance area will be given only with the
permission of both Principals.
•
Permission to attend an elementary school outside the local school attendance area can be given for one
year only. Permission may be limited to one semester in a secondary school at the discretion of the
Principal.
•
Transportation will not be provided by the Board.
•
Students will comply with the Code of Conduct of the school.
REAPPLYING FOR OUT OF AREA ATTENDANCE
Parents/guardians or the adult student must reapply for Out of Area Attendance each year by submitting an
Application to Attend a School Outside of the Home School Attendance Area Form #501-1 to the Principal of the
Out of Area school. Secondary school students who have been granted permanent placement by the receiving
Principal need not reapply.
Revised February 2015
UPPER GRAND DISTRICT SCHOOL BOARD
APPLICATION TO ATTEND A SCHOOL
OUTSIDE OF THE HOME SCHOOL ATTENDANCE AREA
PART A
501-1
To be completed by the parent/guardian (or the student if 18 years or older). Use one form for each student.
Student’s Name:
Date of Birth:
Current Grade:
(yy/mm/dd)
Date of Request:
School Use Only OEN Number:
Name of Parent/Guardian:
Street Address:
City:
Postal Code
Home Phone:
Work Phone:
FOR RURAL STUDENTS ONLY
Road Name:
Lot:
Emergency Locator Number:
Concession:
Township:
Home School: (per primary residential address):
Current School: (if different from home school):
School
Requested:
Grade:
Requested Start Date:
(yy/mm/dd)
Reason for Request: (refer to Policy 501)
The student agrees to comply with the School’s Code of Conduct.
As per Policy 501, I understand there is no transportation provided.
I agree to make arrangements for my child to get to and from school.
Signature of Parent/Guardian:
(or the student if 18 years or older)
PART B
SCHOOL USE ONLY
Name (please print)
Parent
Initials:
Signature
Date (yy/mm/dd)
(Obtain completed 501-2 Child Care Declaration Form as required)
Comments: (Mandatory completion, be specific):
Signature of Home School Principal
Name (please print)
Signature
Date (yy/mm/dd)
Name (please print)
Signature
Date (yy/mm/dd)
Signature of Requested School Principal
PART C
RECOMMENDATIONS/DECISIONS
Principals’ Recommendation:
Superintendent’s Decision:
Name of Superintendent (please print)
Revised 2015 02
Adopted 1998 06
Approved for one school year only
Approved for one semester only
Permanent Placement (Secondary Only)
Request Denied
Out of Area Request Approved
Out of Area Request Denied
Signature
Date (yy/mm/dd)
The legal authority for the collection of this information is in the Education Act R.S.O. 1980. The purpose is to grant permission to attend a school
outside the local school attendance area. Users of this information will be the Principal, Superintendent of Education and administrative support staff.
This form will be retained for a period of one year from the date of the Superintendents decision (school copies can be shredded at the end of the
school year). The contact person for queries concerning this information is the Principal of the home school.