WITS

Please note: This form must be completed yearly by April 1st.

School Year

Application Type

School Child Will be Attending

School Name

Address

City

State

Zip Code

School Phone #

Grade

Student details

First Name

Middle

Last Name

Gender

Birthdate

If not citizen, Immigration Status

(i.e., J1, F1, etc.)

Ethnicity (For Government Agency Report: check all that apply)

American Indian or Alaskan Native

Asian

Black

Hispanic

Multiracial

Native Hawaiian / Other Pacific Islander

White/ Other

Home Address

Address

City

State

Zip Code

Home Phone #

Proof of Residency

Please provide current proof of residency, dated within the last 45 days. A list of what is, and what is not, acceptable proof can be found here. Please upload pdfs or images (jpgs).

Associated Adult(s)

Adult #1

First Name

M.I.

Last Name

Relationship to Student

Work Phone #

Adult #2

First Name

M.I.

Last Name

Relationship to Student

Work Phone #

Adult #3

First Name

M.I.

Last Name

Relationship to Student

Work Phone #

Adult #4

First Name

M.I.

Last Name

Relationship to Student

Work Phone #

Sibling(s)

Sibling #1

Name

Relationship

Birthdate

Sibling #2

Name

Relationship

Birthdate

Sibling #3

Name

Relationship

Birthdate

Sibling #4

Name

Relationship

Birthdate

Sibling #5

Name

Relationship

Birthdate

Sibling #6

Name

Relationship

Birthdate

Parent/Guardian Signature

Williamsville Central School District Application for Transportation to Private Schools

Adult #1

Adult #2

Adult #3

Adult #4

Sibling #1

Sibling #2

Sibling #3

Sibling #4

Sibling #5

Sibling #6