ANGLOPHONE SOUTH SCHOOL DISTRICT REQUEST FOR SCHOOL PLACEMENT WITHIN & BETWEEN EDUCATION CENTRES & DISTRICTS □Within Saint John Education Centre 490 Woodward Ave. Saint John,, NB E2K 5N3 Tel. (506) 658-5300 Fax (506) 658-5399 □Within Hampton Education Centre 82 School St. PO Box 1002 Hampton NB, E5N 8H1 Tel. (506) 832-6143 Fax (506) 832-6193 □Within St. Stephen Education Centre 11 School Street St. Stephen, NB E3L 2N4 Tel. (506) 466-7300 Fax (506) 466-7309 For School Year 20_____ - 20_____ Student Name: Parents/Guardians: Home Address: Postal Code: Telephone: (H) (W) Zoned School: Requested School Placement: □ □ □ Grade: ______ Program: English Prime Early French Immersion Late French Immersion Date for Placement: Reason for Request: I have read the procedures for Student Placement outside my zone school on the back of the form and understand transportation is my responsibility. _________________________________________________________ Parent/Guardian Signature ____________________________________________________ Date
ANGLOPHONE SOUTH SCHOOL DISTRICT REQUEST FOR SCHOOL PLACEMENT WITHIN & BETWEEN EDUCATION CENTRES & DISTRICTS □Within Saint John Education Centre 490 Woodward Ave. Saint John,, NB E2K 5N3 Tel. (506) 658-5300 Fax (506) 658-5399 □Within Hampton Education Centre 82 School St. PO Box 1002 Hampton NB, E5N 8H1 Tel. (506) 832-6143 Fax (506) 832-6193 □Within St. Stephen Education Centre 11 School Street St. Stephen, NB E3L 2N4 Tel. (506) 466-7300 Fax (506) 466-7309 For School Year 20_____ - 20_____ Student Name: Parents/Guardians: Home Address: Postal Code: Telephone: (H) (W) Zoned School: Requested School Placement: Grade: ______ Program: □ English Prime □ Early French Immersion □ Late French Immersion Date for Placement: Reason for Request: I have read the procedures for Student Placement outside my zone school on the back of the form and understand transportation is my responsibility. _________________________________________________________ Parent/Guardian Signature ____________________________________________________ Date