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

K-8 Waitlist Application

This application will place your student on the waitlist for the lottery for the next school year. Fill out this form by April 1st at 5 pm. You will need to fill out an application FOR EVERY STUDENT you would like to enroll. Families will be notified by April 15th that the lottery was held and will be given any additional information.

Apply Now – 2025-2026

Student First Name

Student Last Name

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?

Primary Language in Home

Student Mailing Address

City

State

Zip Code

Student Physical Address

City

State

Zip Code

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Phone #

Parent/Guardian Email

Parent/Guardian Date of Birth

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