Open Enrollment Application 2026

Bloom-Vernon Local Schools Open Enrollment Application 2026–2027

Apply for interdistrict open enrollment at Bloom-Vernon Local School District for the 2026–2027 school year. Please complete one form per school-age student.
Student Information
Student Full Name*

First NameLast Name
Student Birth Date*

MonthDayYear
Date
Grade Level for 2026–2027 School Year*
School District of Residence*
School Building Presently Attending*
Parent/Guardian Information
Parent(s)/Guardian Name(s)*

First NameLast Name
Residential Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Mailing Address (if different from residential address)

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Email Address*
example@example.com
Home Phone*
Please enter a valid phone number.Format: (000) 000-0000.
Cell Phone*
Please enter a valid phone number.Format: (000) 000-0000.
Student Educational and Disciplinary Information
Does the student have an Individualized Education Plan (IEP)?*

YesNo
Does the student have a 504 plan?*

YesNo
Has the student been suspended or expelled during this or previous semester?*

YesNo
If you answered 'Yes' to any of the above, please explain:
Please list school-age siblings (name and grade):
Reason(s) for wanting to attend Bloom-Vernon Local Schools

Better education opportunitiesProblems getting along with other students at resident districtSports participationProblems with teachers at resident districtChild care convenienceOpportunities to participate in extracurricular eventsLives closer to this district than resident districtOther
If you selected 'Other', please explain:
Parent/Guardian Signature*
Date Signed*

MonthDayYear
Date
Important Information
The Superintendent is authorized to take applications through October 31, 2026. After that, applications will be reviewed only in special situations (e.g., moving districts, best interest of the child due to circumstances). Requests will be acted upon no later than July 15, 2026. Falsification of information may void this application.
For Office Use Only
Received by
Date Received

MonthDayYear
Date
Time Received
Application Status
Reason(s) for Approval or Rejection
Superintendent Signature*
Should be Empty:

Bloom-Vernon Local Schools Open Enrollment Application 2026–2027

Student Information

Parent/Guardian Information

Student Educational and Disciplinary Information

For Office Use Only