SUSD 2015-2016 Magnet Program Application

SUSD Magnet Office: (209) 933-7040 ext 2745 - Deadline is 30 Jan 2015 at 4:30pm. This form is good for 2015-2016 only.
Program Selection Elementary Programs

High School Programs
Charter and Specialty Schools
Student Information

WARNING: Duplicate applications may invalidate both applications.

NOTE: Changes after application is submitted must be done in person at the Magnet Office

*Student must meet all enrollment eligibility requirements as outlined in SUSD Board Policy/Administrative Regulations 5111.1/5111.3

Male Female
Yes No - If No, you must complete the next section on Race
Not sure what this is? Call the SUSD Magnet Office at 933-7040 ext 2745.
(example: English, Spanish, etc.)
Brothers/sisters currently attending the magnet school you are applying for
Name School/Grade in 2015-2016

Check services your child is currently receiving:
Special Ed.
Other specify:
Parent/Legal Guardian Contact Information

For Office Use Only

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