1. No category

NATOMAS UNIFIED SCHOOL DISTRICT
2015-16 6th Grade Middle School Choice Form
Student Name:
Student ID#
Currently enrolled in
Elementary School
2015-2016: 6th Grade
For the 2015-2016 school year, 5th grade Natomas Unified School District (NUSD) students may participate in the Middle School
Choice program. Please complete all sections of this form, including selecting the middle school in which your student is to attend for
6th grade during the 2015-2016 school year. The Middle School Choice form must be turned in by 4pm on March 20, 2015. This form
may be turned into any NUSD elementary school, middle school, or the Education Center. Students who do not return a completed
form will automatically be enrolled into the their middle school of residence. After the March 20th deadline, an intra-district transfer
request may be submitted for consideration.
Complete all sections and submit to your child’s school or the Education Center. Please print clearly.
1. Parent/guardian information
Name
Email Address:
Address
City/State/Zip:
Day Phone
Cell Phone
Eve Phone:
2. Does your student intend to remain in the Natomas Unified School District?
YES
NO
Please note, if your answer is no, your choice in section four will hold a place for your student until which time your student is
withdrawn from the Natomas Unified School District.
3. Requested Middle School (please check one)
Natomas Middle
Natomas Gateways
Leroy Greene Academy*
*Students choosing LGA will be enrolled, additional paperwork required
4.Parent/Guardian
print
sign
FOR DISTRICT USE ONLY
Location Collected
date
Date and Time Stamp
☐ ALE ☐BC
☐HAH ☐JE
☐NPE ☐TR
☐WR ☐NGMS ☐LGA ☐NMS ☐EC
District Administration
signature
date
Due by 4:00pm on Friday, March 20th, 2015
Drop off locations: NUSD Elementary School, NUSD Middle School, Education Center
Natomas Unified School District 1901 Arena Blvd, Sacramento, CA 95834