Dearborn Public Schools
Forms
Table of Contents


5000 - STUDENTS
5111f1Affidavit of Birth
5111f2aResidency Affidavit
5111f2bLandlord Verification of Residency
5120f1Student Transfer Agreement
5120f2Transfer Notification to the Parent(s)
5121f1Parent (Guardian) Agreement to Schools-of-Choice Enrollment
5130f1Elementary School Check-Out Procedure
5130f2Middle School Check-Out Report
5130f3High School Student Check-Out
5230f1Early Release Form
5320f2Medical Contraindication Form
5320f3Immunization Waiver Form
5330f1Medication Authorization
5330f1aAuthorization for Nonprescribed Medication or Treatment (Secondary Version)
5330f1bAuthorization for Nonprescribed Medication or Treatment (Elementary Version)
5330f1cAuthorization for the Possession and Use of Asthma Inhalers, Epi-Pens, or Prescribed Emergency Medication
5330f2Medication Administration Daily Log
5340f1Accident Report
5340f2Shop Accident Report
5341f1Emergency Medical Authorization Permit
5350f1Suicide Report Form
5350f2Assessment of Suicide Risk
5421f1Grade Change Request
5460bf1Request to Test Out of a Course
5500f1Student Handbook Certification
5513f1Textbook Condition
5515f1Application to Drive Vehicles on School Property
5517f1Report of Harassment
5530f2Memorandum to Parents Regarding School Board Policy on Drug-Free Schools
5610f1Notification of Emergency Removal
5610f2Notice of Intent to Suspend
5610f3Notice of Suspension
5610f4Notice of Intended Bus Suspension
5610f5Notice of Bus Suspension
5610f6Notice of Intention to Expel
5610f7Notice of Expulsion
5610.01f1Request for Readmission
5610.02f1In-School Restriction, After-School Detention, or Saturday Detention
5771f1Student Locker Assignment Authorization Form
5771f2Record of Student Search and Seizure
5780f1Acceptance of Rights/Responsibilities
5780f2Student Affidavit in Support of a Claim of Emancipation for School Purposes
5830f1Students Fund-Raising Activity
5830f2Parent Permission for Student Participation in Fund-Raising
5830f3Report of Fund-Raising Activity
5840bf1Behavior Contract
5880f1Student Performance Request/Report