Nonresident Transfer Application - Elementary (Grades 1-6) for Second Semester 2018 ONLY

PLEASE NOTE: A separate application must be completed for each child requesting nonresident status.

Families of nonresident students are responsible for providing transportation to/from school. Nonresident students will not be permitted to ride MSDLT buses to/from home/school.

Seat(s) will be offered in your school of choice only if space/current capacity allows. If school of choice is unavailable, student may be offered an alternate selection.

If you wish to receive an e-mail confirmation and copy of your application, please check "send me a copy of my responses" at the bottom of the form BEFORE you submit.














Are you a MSDLT employee that lives outside of MSDLT?


(including area code)


Last name of student you wish to enroll.






2016-2017


2017-2018




E.g. IPS, Warren, Washington, etc. "Private" or "Magnet" School may also be indicated if appropriate.




Should placement in your desired school be full/unavailable, may we offer an alternative school where space may be available?


Please indicate any siblings that will also apply for non-resident status. REMEMBER - You must then also complete a separate application for each student.


First & Last name of any siblings that will also apply for nonresident status. (Note: A separate and complete application must be submitted for each student seeking non-resident status.)


2017-2018 School Year


First & Last Name


2017-2018 School Year




2017-2018 School Year



Are there any past disciplinary concerns of which we should be made aware? Please answer the following:


Enrollment of nonresident students and continued enrollment of nonresident students may be denied based on disciplinary issues. Per IC 20-26-11-32, MSDLT reserves the right to deny enrollment to any non-legal settlement student who has been expelled, suspended for more than ten (10) days, or suspended for any lenghth of time within the previous twelve months for: a violation involving a firearm, deadly weapon, or destructive device; causing physical injury to a student, school employee, or visitor to the school; or for violating a school corporation's drug or alcohol rules. Students will not be admitted to the corporation while serving a suspension or expulsion from another school district.

Has this student been suspended or expelled for ten (10) or more school days in the past twelve (12) months?



Has this student been expelled for firearms, destructive devises or weapons in the last twelve (12) months?


Has this student been suspended or expelled for causing physical injury to a student, school employee, or visitor to the school in the past twelve (12) months?


Has this student been suspended or expelled for a violation of the home school or previous school's drug or alcohol rules in the past twelve (12) months?






Please share any additional information that might be pertinent for placement of your child.


Please note: A student cannot and would not be denied enrollment based solely on special needs.


If you have electronic copies, the documents listed below may be submitted online. Otherwise, you will be contacted by our office to provide hard copies

If applicable, you may attach:
1) Copy of child's disciplinary record;
2) Documentation that supports special programming needs (ESL, Gifted/Talented, IEP, etc.);
3) Any additional documentation you deem relevant.



If you wish to receive an e-mail confirmation and copy of your application, please select "send me a copy of my responses" BEFORE you submit.






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