Apply Now - K-8 Program | Fossil Distance Learning Program

K-8 Waitlist Application

This application will place your student in the lottery that will be held on April 1st. You will need to fill out an application FOR EVERY STUDENT you would like to enroll. Families will be notified by April 15th of their enrollment status for Fall.

Student Name *

First

Last
Student Grade Level *
Student Date of Birth *
Check the box to indicate current or past school services received: *

English as a Second Language – Prior Services (not currently eligible) English as a Second Language – Current Eligibility Special Education Services (IEP or IFSP) – Prior Services (not currently eligible) Special Education Services (IEP or IFSP) – Current Eligibility 504 Plan – Prior 504 Plan – Current None of the above
Please list all other public schools the student has attended:
Please list most recent school attended. Please write "home school" if the student has only been home schooled.
Resident School District *
Has the student been expelled from another Oregon public school? *

Pursuant to statute, Fossil Distance Learning Program is a public school and does not have to accept students who have been expelled from another Oregon public school. Students who have been expelled from an Oregon public school and submit an enrollment application to FDLP will be considered on an individual basis. Parents are responsible for informing FDLP if their students have been expelled from school upon initial submission of the enrollment application.
Primary Language in Home *
Student Mailing Address *

Address Line 1 *

City *

State *

Zip Code *
Student Physical Address

Address Line 1 *

City *

State *

Zip Code *
Parent/Guardian Name *

First

Last
Parent/Guardian Phone Number *
Parent/Guardian Email *
How did you hear about us?