Jerome Joint School District No. 261

STUDENTS 3010F2

RESIDENCE VERFICATIONS FORM

Jerome School District #261

Residence Verifications Form

Student Name:____________________________

Date of Birth:_________________ Phone #________________________

Address:________________________________ City:___________________________

Dear Parent/Guardian:

Jerome School District requires proof of residency to enroll students whose parent(s) or legal guardian(s) reside

within our district. The student must live with said parent/guardian.

An open enrollment form is required if you do not live within Jerome School District boundaries.

Please contact the school secretary for more information.

This form is to verify residency within Jerome School District.

Parent/Guardian must provide one of the following forms of residence verification, which has their name and

physical address:

_____Copy of utility bill (water, power, gas, etc.)

_____Rental/Lease Agreement _____Property Tax Statement

_____Mortgage/Close of Escrow _____Homeowners/Renters Policy

_____*Other (Principal approval)

*_______________________________________________________________________

________________________________________________________________________

I certify the above information is true and correct.

__________________________________ ___________________

Signature of Parent/Guardian Date

Policy History:

Adopted on: 2/18/2018

Revised on: 05/28/2024