Open Enrollment Application Student Name* First Last Current Grade*67This is the grade your student is in during the 2018-2019 school year. This is NOT the grade your student will be in during the 2019-2020 school year. Student #Leave blank if unknown.Legal Address* Street Address City ZIP Code Phone*Birth Date*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Boundary School*OtherBennionBonnevilleBrockbankChurchillEisenhowerEvergreenGranite ParkHunterJefferson, ThomasKearnsKennedy, John F.Matheson, Scott M.OlympusValleyWasatchIf other, please specify school and districtCurrent School*OtherAcademy ParkArcadiaArmstrong AcademyBacchusBeehiveBennion ElementaryBennion JuniorBonnevilleBridgerBrockbankChurchillCopper HillsCottonwoodCrestviewDiamond RidgeEisenhowerDriggsEastwoodElk RunEvergreenFarnsworthFox HillsFremontFrostGourleyGrangerGranite ParkHillsdaleHillsideHunter ElementaryHunter JuniorJacklingJefferson, ThomasKearnsKennedy, John F.Lake RidgeLincolnMagnaMatheson, Scott M.Mill CreekMonroeMorningsideMossOakridgeOakwoodOlympusOquirrh HillsOrchardPennPioneerPleasant GreenPlymouthRedwoodRolling MeadowsRooseveltRosecrestSandburgSilver HillsSmith, CalvinSouth KearnsSpring LaneStansburyTaylorsvilleTrumanTwin PeaksUpland TerraceValleyValley CrestVistaWasatchWest KearnsWest ValleyWestbrookWestern HillsWhittierWilsonWoodstockWright, GearldIf other, please specify school and districtRequested School*West Lake STEMReason for Request*Has the student ever been suspended or expelled from a public school?*NoYesIf yes, please explain.Does your student require services or programs other than what is offered in the regular school classroom?*NoYesIf yes, please explain.Does your student have a sibling already attending West Lake STEM?NoYesSibling Name: First Last I understand that all transfer requests are contingent on early enrollment school capacity ("maximum capacity") or late enrollment school capacity ("adjusted capacity"), special program limitations, staff availability, and/or circumstances under 53A-2-207(4)(c). If this request is granted, I agree that my child must remain at the requested school through the end of the requested school year. I understand that I, as parent or guardian, am responsible for transportation of my student to and from school. I understand that a students' acceptance into a school or school district does not establish UHSAA eligibility. Type your name to signify you agree.*Home Phone*Work PhoneEmail* This email address will be used to send you a copy of your permit application as well as to inform you of acceptance or denial.