REQUEST FOR PUBLIC SCHOOL CHOICE FORM

1. Your choice will only be approved if space and services are available to meet your child’s individual educational plan. (IEP)
2. You cannot choose a charter, magnet, or Nova school because they have specific entry procedures under school choice policy.
3. You may visit schools you are considering choosing, however, comments of school staff about their program do not indicate that your choice will be approved.
4. If approved, transportation will be provided to the requested school if it is within the area transportation zone of the current school (maps of the zones can be viewed at www.broward.k12.fl.us/schoolboundaries/Schools.htm)
5. If your child attends a Title 1 school, school choice will be determined by that program.
Name (optional): 


  1. Student Number


  1. Date of Birth


  1. Last Name


  1. First Name


  1. Race
    Black
    White
    Hispanic
    Asian or Pacific Islander
    Native American
    Multiracial


  1. Sex
    Male
    Female


  1. Street Address


  1. Apt. #


  1. City


  1. Zip Code


  1. Home Phone


  1. Work Phone


  1. Other Phone


  1. Email


  1. Last School Attended


  1. Current School


  1. Boundaried School


  1. Requested School


  1. Current Grade
    KG
    01
    02
    03
    04
    05
    06
    07
    08
    09
    10
    11
    12


  1. Parent's Last Name


  1. Parent's First Name





John Mackey