Delaware City School District
Forms
Table of Contents


5000 - STUDENTS
5111f1Parent-Grandparent Consent Form
5111f2Enrollment Sheet
5111f2aResidency Affidavit
5111f2bResidency Verification
5111f3Inability to Provide Certified Birth Certificate
5111f4Superintendent's Agreement to Enroll a Nonresident Student
5111f5Verification of Employment
5111f7Power of Attorney
5111f8Caretaker Authorization Affidavit
5111f9Checklist of Items to Request and/or Verify in Connection with Power of Attorney or Caretaker Authorization Affidavit
5112f1Referral Form for Possible Academic Acceleration
5113f1Notification of Acceptance (Adjacent-District Student)
5113f2Notification of Non-Acceptance (Adjacent-District Student)
5113f3Parent Agreement to an Inter-District Open Enrollment
5113.01f1Notification of Acceptance (Nonhome-School Student)
5113.01f2Notification of Non-Acceptance (Intra-District)
5113.01f3Parent Agreement to Nonhome-School Enrollment
5113.01f4Within District Transfer Application
5130f1Elementary School Check-Out Procedure
5130f2Middle School Check-Out Report
5130f3High School Student Check-Out
5320f1Confirmation of MMR Booster Vaccination
5320f2Request for Exemption from Further Immunizations
5330f1Parental/Guardian Notification
5330f1aParent Notification: As Needed Medication Administration
5330f1bParent/Guardian Notification of Medication Usage
5330f2aMedication Intake Record
5330f2bMedication Administration Daily Log
5330f2cIncident Report - Medication Administration
5330f3Authorization for the Possession and Use of Asthma Inhaler/Other Emergency Medication(s)
5330f4Authorization for the Possession and Use of Epinephrine Autoinjector
5341f1Emergency Medical Authorization
5350f1Suicide Report Form
5410f1Referral Form for Possible Whole-Grade or Subject Acceleration
5464f1Request for Early Completion of Graduation Requirements
5464f2Referral Form for Possible Early High School Graduation
5500f1Student Handbook Certification
5513f1Textbook Condition
5513f2Breaking & Entering/Vandalism Report
5515f1Application to Drive Vehicles on School Property
5517f1Report of Harassment
5605f1Log of Disciplinary Actions - Student with Disability
5610f2Notice of Intent to Suspend
5610f3Notice of Suspension
5610f4Notice of Intended Bus Suspension
5610f5Notice of Bus Suspension
5610f6Notice of Intent to Expel
5610f7Notice of Expulsion
5610.02f1In-School Restriction, After-School Detention, or Wednesday School 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
5830f1Sales Project Potential Form
5830f4Student Fund-Raising Projects/Student Participation Form
5880f1Student Performance Request/Report