ACS Out of District Student Survey

Non-Resident Student Survey
Date

MonthDayYear
Date
The Non-Resident Student Application window is now closed.

This form will be available on
December 1, 2025.
The following information will be required to submit this form:
• Proof of residence (signed lease, deed, mortgage, most recent utility bill addressed to the parent/guardian at the residence, or the order to turn on utilities)

• Complete address of the previous school attended
(applicable for grades 1 - 12)

• Most recent report card or current transcript
(applicable for grades 1 - 12)

• Business License Number, if applicable
(for local business owners)

Separate submissions of this form are required for
each Non-Resident student enrollment application.
Parent / Guardian Information
Parent / Guardian Name*

First NameLast Name
Parent / Guardian Email*
example@example.com
Parent / Guardian Phone*
Please enter a valid phone number.
Relationship to Student*
Student Information
Student Name:*

First NameMiddle NameLast Name
What grade will the student be in upon approved enrollment?*

Student Address
What is the PHYSICAL address where this student will reside during the 2025-2026 school year:
Student Physical Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student County of Residence*
Upload an image or document with Proof of Residence (signed lease, deed, mortgage, most recent utility bill addressed to the parent/guardian at the residence, or the order to turn on utilities, etc)*

Cancelof

Certification of Accuracy
I hereby confirm that all data and demographic information submitted on this student survey form is true and accurate to the best of my knowledge. I have taken all reasonable steps to ensure the accuracy of the data, including:
- Providing accurate data directly and, if necessary, contacting known and trusted institutions (i.e. previous school districts, etc).
- Verifying the data where possible.
- Updating Arab City Schools with new data as soon as updated information is available.
I understand that the accuracy of personal data is essential to the protection of individual privacy and to the fair and responsible use of personal data.

I understand that providing false or misleading information could result in consequent actions that may impact my student's enrollment status with Arab City Schools.
Click here to accept the terms of providing accurate information as stated above.*

I accept
Signature*
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Non-Resident Student Survey