7:060-E2 Letter of Residence to Be Used When the Person Seeking to Enroll a Student Is Living with a District Resident
A person seeking to enroll a child should use this form as evidence of residency when he or she cannot produce a lease, purchase property agreement, or other similar document – other documents will also be required to establish residency. The School District reserves the right to evaluate the evidence presented; completing this form does not guarantee admission.
To be completed by the individual enrolling the child and returned to the Principal. Please print.
Child: ______________________________________ School: _______________
Individual Enrolling the child: ___________________________________________
Telephone Number: __________________________
Relationship to the child: _________________________________________
Resident Address/City/Zip: _______________________________________________
Signature of individual enrolling the student: _________________________________
To be completed and signed by the individual who is responsible for the residence. Please print.
Name of the individual who is responsible for the residence: ______________________
I am responsible for this residence by:
_____ownership, _____lease, or _____other _____________________
Total number of:
Persons living at this residence ____ Rooms in residence ___ Bedrooms ___
State the reasons for this living arrangement, including your relationship to the individual enrolling the child:
I certify that this information is true and that the individuals named above are living in my residence.
___________________________________________ Date: _____________
Signature of the individual who is responsible for this residence:
WARNING: If a student is determined to be a nonresident of the District for whom tuition must be charged, the persons enrolling the student are liable for non-resident tuition from the date the student began attending a District school as a non-resident.
A person who knowingly enrolls or attempts to enroll in this School District on a tuition-free basis a student known by that person to be a nonresident of the district is guilty of a Class C misdemeanor, except in very limited situations as defined in State law (105 ILCS 5/10-20.12b(e).
A person who knowingly or willfully presents to the School District any false information regarding the residency of a student for the purpose of enabling that student to attend any school in that district without the payment of a nonresident tuition charge is guilty of a Class C misdemeanor (105 ILCS 5/10-20.12b(f).
Date Approved: 06/24/2009