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Labette County High School

Enrollment Information/Form

Required

Must be a Kansas resident to enroll. Each application will be reviewed prior to acceptance. Acceptance into URSA will be determined by the URSA directors and coordinator. 

Namerequired
First Name
Last Name
Parent/Guardian Namerequired
First Name
Last Name
Enrollment Typerequired
Must contain a date in M/D/YYYY format
Genderrequired
Ethnicityrequired
Hispanic or Latino?required
I give URSA permission to request, transfer or discuss my school records with other schools or post-secondary choices. required
21 & Under: Do you currently have an IEP?required
Services provided under your current IEP? (Check all that apply)
Do you have a computer?required
Do you have internet?required
By submitting this form, I am providing my digital signature agreeing that the information given on this form is true, complete, and accurate.