Form 05-17-022 "Enrollment Reporting Form" - Alaska

What Is Form 05-17-022?

This is a legal form that was released by the Alaska Department of Education and Early Development - a government authority operating within Alaska. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • The latest edition provided by the Alaska Department of Education and Early Development;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form 05-17-022 by clicking the link below or browse more documents and templates provided by the Alaska Department of Education and Early Development.

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Download Form 05-17-022 "Enrollment Reporting Form" - Alaska

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ENROLLMENT   REPORTING   FORM  
For a child of compulsory school age who will attend a religious or other private school
FOR THE
SCHOOL YEAR
PLEASE DO NOT SEND THIS FORM TO
THE DEPARTMENT OF EDUCATION & EARLY DEVELOPMENT
Alaska Statute 14.45.110 requires a parent or guardian to notify the superintendent of the local
public school district when a child of compulsory school age will attend a religious or other
private school. This form helps the parent or guardian meet that requirement. Submit a separate
form for each child, if necessary.
Student’s legal name:
Address:
AKSID (if known):
Date of birth:
Grade:
School student will be attending:
Signature of administrative officer
from school student will attend:
Signature of parent or guardian:
ALASKA STATUTE 14.45.110: REQUIREMENTS OF EXEMPT SCHOOLS
(a) The parent or guardian of a child of compulsory school age enrolled in a religious or other
private school that complies with AS 14.45.100 - 14.45.130 shall file an annual notice of
enrollment in the school for the child with the local public school superintendent for the area in
which the child resides on a form provided by the department. The form shall be signed by the
parent or guardian and the chief administrative officer of the school and returned to the local
public school superintendent by the parent or guardian. The school shall notify the local public
school superintendent within a reasonable time if the child is no longer enrolled in or attending
the school.
Please do not send this form to the Department of Education & Early Development. Instead,
send the completed form to your local public school superintendent. Contact information
may be found at the
Alaska Public School Superintendents Rolodex
(education.alaska.gov/
DOE_Rolodex/QSuperintendents_1.cfm).
Form #05-17-022
Alaska Department of Education & Early Development
 
  
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
   
 
 
 
 
 
 
   
   
   
 
 
   
 
 
 
 
 
   
   
 
 
 
 
   
   
 
 
 
 
 
 
 
   
 
 
 
 
   
 
 
 
 
   
 
 
 
 
 
 
   
 
   
 
 
 
 
   
 
   
 
 
 
 
 
 
 
   
   
 
 
ENROLLMENT   REPORTING   FORM  
For a child of compulsory school age who will attend a religious or other private school
FOR THE
SCHOOL YEAR
PLEASE DO NOT SEND THIS FORM TO
THE DEPARTMENT OF EDUCATION & EARLY DEVELOPMENT
Alaska Statute 14.45.110 requires a parent or guardian to notify the superintendent of the local
public school district when a child of compulsory school age will attend a religious or other
private school. This form helps the parent or guardian meet that requirement. Submit a separate
form for each child, if necessary.
Student’s legal name:
Address:
AKSID (if known):
Date of birth:
Grade:
School student will be attending:
Signature of administrative officer
from school student will attend:
Signature of parent or guardian:
ALASKA STATUTE 14.45.110: REQUIREMENTS OF EXEMPT SCHOOLS
(a) The parent or guardian of a child of compulsory school age enrolled in a religious or other
private school that complies with AS 14.45.100 - 14.45.130 shall file an annual notice of
enrollment in the school for the child with the local public school superintendent for the area in
which the child resides on a form provided by the department. The form shall be signed by the
parent or guardian and the chief administrative officer of the school and returned to the local
public school superintendent by the parent or guardian. The school shall notify the local public
school superintendent within a reasonable time if the child is no longer enrolled in or attending
the school.
Please do not send this form to the Department of Education & Early Development. Instead,
send the completed form to your local public school superintendent. Contact information
may be found at the
Alaska Public School Superintendents Rolodex
(education.alaska.gov/
DOE_Rolodex/QSuperintendents_1.cfm).
Form #05-17-022
Alaska Department of Education & Early Development