Powerschool Enrollment Form
First Name:
Last Name:
Address:
City:
State/Province:
Zip Code:
Phone:
Household Name:
Entry Date (MM/DD/YYYY):
Entry Type:
Transfer from another BSSD school.Transfer from another public school district in Alaska.Transfer from another public school district in another state or country.Transfer from home school.Transfer from a private school.Transfer from an institution with an educational program.Re-entry after voluntary withdrawal from same school.Re-entry after expulsion from same school.Student is new to school.Student is continuing from last year.
Transfer from a BSSD school?:
NoBrevig MissionDiomedeElimGambellGolovinKoyukSavoongaShaktoolikShishmarefSt. MichaelStebbinsTellerUnalakleetWalesWhite Mountain
Transfer from another Alaskan School District?:
Transfer from another state or country?:
Person Enrolling Student:
SecretaryPrincipalCounselor
Your E-mail Address:
Date of Birth (MM/DD/YYYY):
Testing Level:
PK3PK4K12345678910111213
Gender:
MaleFemale
Shot on Record:
YesNo
Transcripts Requested:
Does the student receive Special Education Services?:
Does the student qualify for Migrant Education services?
Alaska Student ID:
Ethnicity:
Comments: