ELEMENTARY OUT-OF-CATCHMENT APPLICATION- 2020/2021
Applications intended for the following September are due February 21, 2020 by 4 p.m. All applications
received by this date will receive a response by March 6, 2020. Note: Applications may be submitted
after the due date, but will NOT be reviewed until the third week of September. These applications will be
reviewed in the order that they are received. Schools that are Closed for 2020/2021 will not accept
applications.
Date received in requested school:
S
EC
T I O N
1
: S
t
u d
e
n t In f o r m a t i o n
Fillable Form – You must download and save form before filling it out
Name of Student: Date of
B
irth:
/
/
Yr Month D
ate
Current
Grade:
Names of
Parents/Guardians:
Address(es):
Phone
E-mail Address(es):
N
u
m
be
r
(s):
Postal
Code(s):
Home
School:
Requested
School:
Rati
on
ale
f
or
Re
qu
est:
Student has a sibling who is currently enrolled: Yes No If Yes, their current grade:
CONDITIONS OF APPLICATION:
1. No transportation will be provided by Hamilton-Wentworth District School Board.
2. The Requested School Principal’s decision is final and is not subject to appeal.
I/we understand the conditions of this application and that out-of-catchment requests received after February 21, 2020 will not be
reviewed until after September 14, 2020.
Par
en
t/
Gu
ard
i
an
Si
gnatur
e:
D
a
te:
S
E
C
T I O N
2
:
R
e
q u
e
s
t
e
d S c h o o l
Requested School: Approved
Not Approved
Reque
s
te
d
S
choo
l
Pr
i
nc
i
pa
l’
s
Si
gna
t
ur
e:
D
a
te:
Routing on Completion:
copy to Parent/Guardian
copy to Home School
copy to Transportation Department
The original remains with Requested School
January, 2020
