Author: Chelsey Kuester

Lake Shore Public Schools - Schools of Choice Application 2018/2019

Student Name (one student per form)
Parent Name
Address
City &Zip _____________________________________________________________________
Home Phone Cell or Work Phone
Your Resident District Current School______________________
Grade Level Requested ____________ sibling(s) at Lake Shore? Y N
(sibling school) _________________________________
I heard about Lake Shore from: ¨ Friend/Family Member ¨ Newspaper ¨ Website ¨ Other______
¨ My son/daughter has not been suspended or expelled in the past two years.
I verify that the above information is accurate. Providing any type of false information will result in non-acceptance or immediate dismissal of any accepted student.
Parent Signature Date

Date of Birth

LAKE SHORE PUBLIC SCHOOLS

SCHOOLS OF CHOICE
FOR
MACOMB COUNTY RESIDENTS
Kindergarten through Grade 11
For information please call
586-285-8610
2018/2019 SCHOOL YEAR

It is the policy of the Lake Shore Board of Education that no person shall be discriminated against on the basis of race, color, national origin, age, gender, marital status, handicap, or disability.
Once an applicant is accepted, he/she will not be required to apply annually.
Applicants must be residents of Macomb County.
Application is valid only if it meets all requirements, is properly completed and signed.
False information will void application and student’s privilege to attend.
The district is not responsible for transportation of Schools of Choice students.
Students expelled or suspended in the past two years will not be admitted as Schools of Choice student

For students who have moved out of the district-
Checklist for a complete application:
Complete & Sign application form.
Provide 3 items showing proof of residency in Macomb County
Return all items to:
Veronica Robinson
Lake Shore Public Schools
28850 Harper Ave.
St. Clair Shores, MI 48081
Fax: 586-285-8463
vrobinson@lsps.org

APPLICATION
and
PROCEDURES
Conrad Piebiak Brian W. Annable
Board President Superintendent

Shannon Ketelhut Dr. Joe DiPonio
Board President Superintendent