FREEDOM OF CHOICE ASSIGNMENT
STUDENT'S NAME:
LAST NAMEFIRST NAMEMIDDLE NAME
PARENT(S)/GUARDIAN(S) NAME:
YOUR RELATIONSHIP TO THE STUDENT:
REASON FOR THIS REQUEST:
PARENT(S)/GUARDIAN(S) TELEPHONE NUMBERS:
HOMEWORK
PARENT(S)/GUARDIAN(S) ADDRESS:
STREET ADDRESS
CITYSTATEZIP CODE
STUDENT'S CURRENT SCHOOL ASSIGNMENT:
STUDENT'S NON-WILKES COUNTY SCHOOL:
SCHOOL STUDENT WOULD LIKE TO ATTEND:
GRADE:
SUBMITTED DATE:09/26/2017 08:22 AM
DATE
REFERENCE POLICY 4156 SCHOOL ASSIGNMENT