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|Bristol Public Schools|
COMPLETED APPLICATION DUE WEDNESDAY,
AUGUST 24, 2011.
SOUTH SIDE SCHOOL
School Choice/SES Application
Student Name: Date of Birth:
Grade: Current School:
I would like to request a transfer of schools for my child.
Requested Transfer School: ___ Stafford School
____ Ellen P. Hubbell School
Indicate 1st and 2nd choices next to school name.
I am interested in learning more about supplemental services for my child.
My child is eligible for Free or Reduced Meals at school: ____ Yes ____ No
My child has performed at Level 1(Below Basic) or 2 (Basic) on the CMTs: ____ Yes ____ No
List any additional comments/questions here: ___________________________________
Please return this form no later than Wednesday, August 24, 2011 to:
Dr. Susan Kalt Moreau, Deputy Superintendent of Schools
Box 450/129 Church Street
Bristol Connecticut or fax to 584-7611
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