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Please fill out the form below to apply for Downey Unified School District.

Haga clic aquí si necesita esta forma traducida al Español.

Student's First Name:
Student's Last Name:
Student's Date of Birth (format mm/dd/yyyy):
Home Address (Street/Apt #):
Home Address City:
Home Address Zip:
Telephone (format no spaces, dashes, or parenthesis 1234567890):

Has your student been previously enrolled in DUSD:

If 'yes', what was their previous Downey school? :
What was the date of withdrawal? (format mm/dd/yyyy):
Reason for Withdrawal:
Student ID:

What is your student's current grade?:
What is the student's grade next year?:

Which is your first school of choice?:

Second school of choice?:
Third school of choice?:

Are you requesting a permit for this current semester or next school year?:
Student's GPA From Last Report Card:
Behavior on their last report card:
Does the student have any disciplinary action or an expulsion order:

Does the student require Special Education Services:

If 'yes', Special Education Type:
Special Education Other:

Is there a sibling at the requested school?:

If 'yes' sibling student ID:
Sibling First Name:
Sibling Last Name:
Sibling's grade next school year:

Are you submitting a permit application for a sibling, as well?
Parent or Guardian 1 First Name:
Parent or Guardian 1 Last Name:
Contact Phone 1 (format no spaces, dashes, or parenthesis 1234567890):
Email 1:
Parent or Guardian 2 First Name:
Parent or Guardian 2 Last Name:
Contact Phone 2 (format no spaces, dashes, or parenthesis 1234567890):
Email 2:
Is the parent/guardian a DUSD employee?:

If 'yes', which DUSD Site:
Site Other:

What is the student's current school district of residence?:
District of residence (Other):
What is your student's current school of residence?:

Any additional comments for consideration?:
If you were referred by someone, please enter their name:

Referred by email: