105C - Continuing - LakeVille Community Schools

LAKEVILLE COMMUNITY SCHOOLS
Section 105C School of Choice Continuing Application
2015-2016 School Year
All applications must be completed and returned to:
LAKEVILLE COMMUNITY SCHOOLS - 11107 Washburn Rd., Otisville, MI 48463 by September 11, 2015.
Failure to meet this deadline will result in denial of request.
The following students request continuation of 105C Schools of Choice to attend Lakeville Community
Schools for the 2015-2016 school year.
Name:
Grade:
Address:
Phone Number:
School District of Residence:
Parent Signature
Date
Please return to:
LakeVille Community Schools
Attn: Lisa Hendrickson
11107 Washburn Road
Otisville, MI 48463
Vickie Luoma, Superintendent
Board of Education
Holly Selesky, President – Chad Carriero, Vice-President - Gary Peterson, Secretary - Kelly Zudell, Treasurer
Joe Krapohl, Trustee – Jim Baier, Trustee – Jodi Hemingway, Trustee