[Name of County] [Street Address] [City, State, Zip Code] District grades: [District grades] Approved Choice grades: [Approved Choice grades] Number of students enrolled in district: [#] Choice Parent Information Center: [Phone number] E-mail: [email of program contact] Website: [URL address] CHOICE PROGRAM: [Brief paragraph describing the choice program(s) being offered] Choice Seats Available For the 2014-2015 School Year School Name: [Name of School] Specialized Program: [Name of special program if applicable] (If more than one school or special program, use a separate chart for each.) Waitlists will be developed for all approved choice grades even if no seats are currently available Grade Seats K [Seats] 1 [Seats] 2 [Seats] 3 [Seats] 4 [Seats] 5 [Seats] 6 [Seats] 7 [Seats] 8 [Seats] 9 [Seats] 10 [Seats] 11 [Seats] 12 [Seats] Page 1 of 2 [Name of County] District Choice Policies Yes/No a. The district accepts Tier 2 students. [Yes/No] b. The district gives enrollment preference to students who have siblings currently attending the choice district. [Yes/No] c. If currently in a formal sending/receiving or constituent relationship with a choice district, the district gives enrollment preference to choice students who have completed the terminal grade of the sending district. [Yes/No/ Not Applicable] d. If a resident student moves out of the district after the choice student application deadline and chooses to continue attending school in the district for the remainder of the school year, the district will allow the student to continue as an unfunded choice student in the subsequent school year. [Yes/No] TRANSPORTATION NOTE TO PARENTS: Transportation of choice students is not guaranteed. If the cost of transportation will exceed $884, the parent/guardian will be given $884 as aid in lieu of transportation and, in some cases, the option of receiving the transportation and paying the additional amount over $884. By Aug. 1, 2014, parents should receive notification of their transportation options from the resident district. For more information, read the Transportation Procedures for choice students. Page 2 of 2