VERONA AREA SCHOOL DISTRICT - CHANGE OF ADDRESS
It is critical to keep your residential address information up-to-date so you can receive important correspondence about your student from Verona Area School District. An incorrect address and contact information could potentially affect the school’s ability to reach you in case of an emergency, your student’s school assignment, bus transportation, and eligibility to participate in athletics.
NEW HOUSEHOLD INFORMATION
New Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Phone Number
*
-
Area Code
Phone Number
Date of Move
*
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
To which guardian does this address belong to?
*
Primary Parent/Guardian
Secondary Parent/Guardian
Both Primary and Secondary Parent/Guardians
PREVIOUS HOUSEHOLD INFORMATION
Previous Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
ADULT INFORMATION
Primary Parent/Guardian
*
First Name
Last Name
Relationship
*
Mother
Father
Guardian
Other
Secondary Parent/Guardian
First Name
Last Name
Relationship
Mother
Father
Guardian
Other
Does secondary parent/guardian reside at the same address as the student/primary guardian?
Yes
No
Secondary Guardian Address
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
STUDENT INFORMATION
Please enter the full name and grade level of students affected by this move. You must hit SAVE after each entry.
*
PROOF OF RESIDENCY
Proof of Verona Area School District residency is required. Residency is defined as the physical location (address) where the student actually lives. To complete this step you must provide the following: either one document from Category A or two documents from Category B, as outlined below.
Please select the type of Proof of Residency you will be submitting
*
One Document from Category A
Two Documents from Category B
I am unable to provide Proof of Residency at this time and ask that the registration office contact me to further discuss my situation.
Category A - Proof of Residency
*
Browse Files
Cancel
of
Upload Category B - Document 1 here. Category B utility bills and postmarked documents must be dated within the past 30 days and include both name and address.
*
Browse Files
Cancel
of
Upload Category B - Document 2 here. Category B utility bills and postmarked documents must be dated within the past 30 days and include both name and address.
*
Browse Files
Cancel
of
MCKINNEY-VENTO INFORMATION
The answer to the following question can help determine the services your student may be eligible to receive under the McKinney-Vento Act 42 U.S.C. 11435. The McKinney-Vento Act provides services and supports for children and youth experiencing homelessness.
If you are unable to supply proof of residency, select the housing situation that most applies to your student:
Sharing housing with another family, relative, friend or partner because of a long term, cooperative living arrangement, not temporary or transitional.
Sharing housing with another family, relative, friend or partner due to loss of employment, loss of housing, economic hardship or similar reason.
In emergency Shelter or transitional housing program
In a motel/hotel, campground, or other similar situation
Unsheltered (at a train or bus station, park, or in a car)
In an abandoned apartment or building
Living without a parent or legal guardian, or a teen (up to age 21) living independently (unaccompanied)
ELECTRONIC SIGNATURE
The electronic signature below and its related field(s) are treated by Verona Area School District like a handwritten signature on a paper form (Board Policy 773, Use of Electronic Signatures)
Name of Person Submitting Form
*
First Name
Last Name
Date
*
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
E-mail
Enter the message as it's shown
*
Submit
Should be Empty: