Student Name: Birth Date: MM/DD/YYYY Gender: Male FemaleHome Address: Current Grade Level: Pre-K K 1 2 3 4 5 6 7 8 9 10 11 12 Current School of Attendance: ADAMS ELEMENTARY (003) ADULT ED/SDCCD (699) ALBA (331) ALCOTT ELEMENTARY (004) ANGIER ELEMENTARY (007) ARROYO PASEO CHARTER HIGH (222) AUDEO (008) AUDUBON ELEMENTARY (009) BAKER ELEMENTARY (011) BALBOA ELEMENTARY (013) BARNARD ELEMENTARY (017) BAY PARK ELEMENTARY (021) BAYVIEW TERRACE ELEMENTARY (023) BELL MIDDLE (302) BENCHLEY/WEINBERGER ELEMENTARY (293) BETHUNE ELEMENTARY (123) BIRD ROCK ELEMENTARY (029) BIRNEY ELEMENTARY (031) BOONE ELEMENTARY (033) BURBANK ELEMENTARY (039) CABRILLO ELEMENTARY (041) CADMAN ELEMENTARY (043) CARSON ELEMENTARY (055) CARVER ELEMENTARY (057) CENTRAL ELEMENTARY (059) CHALLENGER MIDDLE (303) CHARTER SCHOOL OF SAN DIEGO (366) CHAVEZ ELEMENTARY (060) CHEROKEE POINT ELEMENTARY (062) CHESTERTON ELEMENTARY (061) CHILD DEVELOPMENT PGM OFCS (831) CHILDRENS CONSERVATION ACADEMY (056) CHOLLAS/MEAD ELEMENTARY (063) CITY ARTS ACADEMY (126) CLAIREMONT HIGH (332) CLARK MIDDLE (322) CLAY ELEMENTARY (065) CORREIA MIDDLE (304) CRAWFORD CHAMPS (704) CRAWFORD HIGH (334) CRAWFORD HIGH EDUCATION CMPLX (701) CRAWFORD HSDP (777) CRAWFORD IDEA (702) CRAWFORD LAW AND BUSINESS (705) CRAWFORD MULTIMEDIA & VIS ARTS (703) CREATIVE PERFORMING & MED ARTS (310) CROWN POINT ELEMENTARY (073) CUBBERLEY ELEMENTARY (075) CURIE ELEMENTARY (077) DAILARD ELEMENTARY (078) DANA (080) DARNALL ELEMENTARY (079) DE PORTOLA MIDDLE (327) DEL SOL (439) DEWEY ELEMENTARY (085) DINGEMAN ELEMENTARY (086) DOYLE ELEMENTARY (087) EDISON ELEMENTARY (089) EINSTEIN ACADEMY (092) EINSTEIN ACADEMY MIDDLE (305) EMERSON/BANDINI ELEMENTARY (091) ENCANTO ELEMENTARY (093) ERICSON ELEMENTARY (217) EUCLID ELEMENTARY (095) EXPLORER ELEMENTARY (712) FANNO ACADEMY (176) FARB MIDDLE (367) FAY ELEMENTARY (153) FIELD ELEMENTARY (103) FLETCHER ELEMENTARY (105) FLORENCE ELEMENTARY (107) FOSTER ELEMENTARY (111) FRANKLIN ELEMENTARY (113) FREESE ELEMENTARY (115) FULTON ELEMENTARY (119) GAGE ELEMENTARY (121) GARFIELD ELEMENTARY (124) GARFIELD HIGH (361) GARFIELD HSDP (714) GOLDEN HILL ELEMENTARY (128) GOMPERS HIGH (335) GOMPERS MIDDLE (747) GOMPERS PREPARATORY ACADEMY (347) GRANT ELEMENTARY (127) GREEN ELEMENTARY (131) HAGE ELEMENTARY (134) HAMILTON ELEMENTARY (135) HANCOCK ELEMENTARY (136) HARDY ELEMENTARY (139) HAWTHORNE ELEMENTARY (141) HEALTH SCIENCES HIGH (221) HEARST ELEMENTARY (143) HENRY HIGH (336) HENRY HSDP (721) HICKMAN ELEMENTARY (201) HIGH TECH HIGH (339) HIGH TECH HIGH INTERNATIONAL (785) HIGH TECH HIGH MEDIA ARTS (783) HIGH TECH MIDDLE (306) HIGH TECH MIDDLE MEDIA ARTS (353) HOLLY DRIVE LEADERSHIP ACADEMY (144) HOLMES ELEMENTARY (147) HOME AND HOSPITAL (382) HOOVER HIGH (338) HOOVER HSDP (722) HORTON ELEMENTARY (149) IBARRA ELEMENTARY (150) IFTIN CHARTER (074) IHIGH VIRTUAL ACADEMY (504) INNOVATION MIDDLE (343) INNOVATIONS ACADEMY (377) INTEGRATED LIFE SKILLS (386) JEFFERSON ELEMENTARY (155) JERABEK ELEMENTARY (156) JOHN MUIR (369) JOHNSON ELEMENTARY (157) JOLA COMMUNITY CHARTER (052) JONES ELEMENTARY (159) JOYNER ELEMENTARY (130) JUAREZ ELEMENTARY (161) KEARNY CONSTRUCTION TECH (736) KEARNY DIGITAL MEDIA & DESIGN (733) KEARNY HIGH (340) KEARNY HIGH EDUCATION CMPLX (732) KEARNY INTERNATIONAL BUSINESS (735) KEARNY SCT (734) KEILLER MIDDLE (365) KIMBROUGH ELEMENTARY (162) KING-CHAVEZ ACADEMY (160) KING-CHAVEZ ARTS ACADEMY (026) KING-CHAVEZ ATHLETICS ACADEMY (068) KING-CHAVEZ COMMUNITY HIGH (379) KING-CHAVEZ PREPARATORY (082) KING-CHAVEZ PRIMARY ACADEMY (044) KIPP ADELANTE (280) KNOX ELEMENTARY (165) KUMEYAAY ELEMENTARY (166) LA JOLLA ELEMENTARY (169) LA JOLLA HIGH (342) LAFAYETTE ELEMENTARY (167) LANGUAGE ACADEMY (170) LCI (791) LEARNING CHOICE ACADEMY (018) LEE ELEMENTARY (171) LEWIS MIDDLE (311) LINCOLN HIGH (344) LINCOLN HIGH (637) LINDA VISTA ELEMENTARY (173) LINDBERGH/SCHWEITZER ELEM (175) LOGAN ELEMENTARY (177) LOMA PORTAL ELEMENTARY (179) LONGFELLOW (181) MADISON HIGH (346) MADISON HSDP (715) MAGNOLIA SCIENCE (076) MANN COMPLEX (738) MANN MIDDLE (312) MANN SCHOOL OF EXPEDITION (713) MANN SCHOOL OF EXPLORATION (717) MANN SCHOOL OF EXPRESSION (718) MARCY-ADOLESCENT DAY TREATMENT (681) MARSHALL ELEMENTARY (195) MARSHALL MIDDLE (308) MARSTON MIDDLE (313) MARVIN ELEMENTARY (197) MASON ELEMENTARY (199) MCGILL SCHOOL OF SUCCESS (254) MCKINLEY ELEMENTARY (203) MEMORIAL SCHOLARS & ATHLETES (330) MILLENIAL TECH MIDDLE (341) MILLER ELEMENTARY (206) MIRA MESA HIGH (349) MIRA MESA HSDP (719) MIRAMAR RANCH ELEMENTARY (210) MISSION BAY HIGH (350) MONTGOMERY MIDDLE (316) MORSE HIGH (352) MORSE HSDP (727) MT. EVEREST ACADEMY (395) MUIRLANDS MIDDLE (317) MUSEUM SCHOOL (220) NEW DAWN (438) NON-PUBLIC SCHOOLS (389) NORMAL HEIGHTS ELEMENTARY (215) NUBIA LEADERSHIP ACADEMY (212) NYE ELEMENTARY (218) O'FARRELL MIDDLE (319) OAK PARK ELEMENTARY (223) OCEAN BEACH ELEMENTARY (225) ORACLE (396) OUT OF SELPA (667) PACIFIC BEACH ELEMENTARY (227) PACIFIC BEACH MIDDLE (320) PARADISE HILLS ELEMENTARY (229) PARENTALLY PLACED PRIVATE SCHL (378) PENN ELEMENTARY (235) PERKINS ELEMENTARY (185) PERRY ELEMENTARY (237) PERSHING MIDDLE (321) POINT LOMA HIGH (354) POINT LOMA HSDP (728) PORTER ELEMENTARY (236) PREUSS SCHOOL UCSD (348) PROMISE ELEMENTARY (238) RILEY (364) RODRIGUEZ ELEMENTARY (137) ROLANDO PARK ELEMENTARY (243) ROOSEVELT INTERNATIONAL MIDDLE (324) ROSA PARKS ELEMENTARY (230) ROSS ELEMENTARY (247) ROWAN ELEMENTARY (249) SAN DIEGO BUSINESS (749) SAN DIEGO CIMA (746) SAN DIEGO COOPERATIVE (256) SAN DIEGO EARLY/MIDDLE COLLEGE (503) SAN DIEGO HIGH (356) SAN DIEGO HIGH EDUCATION CMPLX (743) SAN DIEGO HSDP (729) SAN DIEGO INT'L STUDIES (744) SAN DIEGO LEADS (745) SAN DIEGO METRO CAREER & TECH (500) SAN DIEGO MVP ARTS (750) SAN DIEGO SCIENCE & TECHNOLOGY (753) SAN DIEGO SCPA (368) SANDBURG ELEMENTARY (219) SCRIPPS ELEMENTARY (090) SCRIPPS RANCH HIGH (359) SEEC (373) SEQUOIA ELEMENTARY (253) SERRA HIGH (357) SESSIONS ELEMENTARY (255) SHERMAN ELEMENTARY (259) SILVER GATE ELEMENTARY (261) SPRECKELS ELEMENTARY (263) STANDLEY MIDDLE (325) SUNSET VIEW ELEMENTARY (269) TAFT MIDDLE (326) TIERRASANTA ELEMENTARY (274) TOLER ELEMENTARY (277) TORREY PINES ELEMENTARY (279) TRACE (479) TRACE SENIORS (793) TUBMAN VILLAGE (214) TWAIN HIGH (362) UNIFIED DAY SCHOOL (755) UNIVERSITY CITY HIGH (355) URBAN DISCOVERY ACADEMY (376) VALENCIA PARK ELEMENTARY (283) VISTA GRANDE ELEMENTARY (284) WALKER ELEMENTARY (285) WANGENHEIM MIDDLE (328) WASHINGTON ELEMENTARY (287) WEBSTER ELEMENTARY (289) WEGEFORTH ELEMENTARY (291) WHITMAN ELEMENTARY (295) WHITTIER (297) WILSON MIDDLE (329) ZAMORANO ELEMENTARY (125) Other:
Parent/Guardian Name: Parent/Guardian Email: Preferred Phone: Secondary Phone: What language, if other than English, does your child most frequently use at home? AFRICAN - OTHER AFRICAN - SWAHILI AMERICAN INDIAN - CHEROKEE AMERICAN INDIAN - NAVAJO AMERICAN INDIAN - OTHER AMERICAN INDIAN - SIOUX AMERICAN SIGN LANGUAGE ARABIC ARMENIAN BULGARIAN BURMESE CAMBODIAN CHINESE - CANTONESE CHINESE - MANDARIN CHINESE - OTHER CZECH DANISH DUTCH FINNISH FRENCH GAELIC GERMAN GREEK GUAMANIAN - CHAMORRO GUATEMALAN INDIAN-CAKCHEKEL GUATEMALAN INDIAN-OTHER GUATEMALAN INDIAN-QUICHE HAWAIIAN HEBREW HMONG HUNGARIAN ICELANDIC INDIA - OTHER INDIAN - GUJARATI INDIAN - HINDI ITALIAN JAPANESE KOREAN LAO MALAY - INDONESIAN MALAY - POLYNESIAN MEXICAN INDIAN-MIXTEC MEXICAN INDIAN-OTHER NORWEGIAN OTHER NON-ENGLISH PERSIAN - FARSI PILIPINO - BIKOL PILIPINO - ILOCANO PILIPINO - OTHER PILIPINO - PANGASINAN PILIPINO - TAGALOG PILIPINO - VIASAYAN POLISH PORTUGUESE ROMANIAN RUSSIAN SAMOAN SERBO - CROATIAN SOMALI SPANISH SWEDISH THAI TURKISH UKRANIAN URDU VIETNAMESE YIDDISH Is this a revised application? Use this box to indicate that you have already submitted an application.Have you recently moved? Use this box to indicate that you have recently moved.Enrollment Dependent Upon Transportation: Use this box to indicate that enrollment is dependent upon district-provided transportation for the schools identified on each application. More information about transportation. Sibling Enrolled at a Requested School: Twin/Multiple Births: List twins, triplets/multiple birth students applying to the same school(s). Each student must have a completed application. IMPORTANT – THE CUSTODIAL PARENT/GUARDIAN MUST READ AND ACCEPT BEFORE SUBMITTING APPLICATION: I am the custodial parent/guardian and I have read the Program Policies. I understand that the selection process (except for PISC) is by an unbiased computer-generated randomized ranking procedure during the priority application period (Nov. 1 - Feb. 15) and that enrollment will be offered on a space-available basis by the school(s). I understand that if my student is enrolled, he/she must remain in the new school of enrollment until the completion of the school year he/she begins. The address used for eligibility will be verified with the district records at the current school and upon enrollment in the new school. I also understand that falsification of the student information may result in the student being disqualified for enrollment at the Magnet, VEEP, Open Enrollment or PISC school.
I have read the above information and agree with the Enrollment Options Application policies.
After completing this form, you will have the opportunity to apply for Open Enrollment, Magnet, PISC, or VEEP schools.