School Year: _________ Date/Time Received: __________________

HAMPTON CITY SCHOOLS OUT OF ZONE APPLICATION

(select one) O Out of Zone Hampton Residents

O Tuition Waiver for Children of Non-Resident Full-Time Employees O Tuition for Non-Residents (determined on an annual basis)

________________________________________ ______________________________ Zoned School (if applicable) Requested School ________________________________________ ______________________________ Current School Name Current School Phone Number Student’s Name: _______________________________________________________________________ Grade Requested: __________ Date of Birth: _______________________ Parent/Guardian’s Name: _______________________________________________________________ Address: ________________________________________________________Zip Code: ____________ Phone Number(s): ______________________________________________________________________ Reason for Request: ____________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________

_________________________________________ __________________ Parent/Guardian’s Signature Date - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - For Office Use Only- - - - - - - - - - - - - - - - - - - - - - - - - - - O Approved O Denied Comments: ____________________________________________________________________________ ____________________________________________ __________________ School Administrator’s Signature Date (SBO 171 NEW 1/15)

VHSL eligibility begins at 9th grade. If a 9th grade student is granted an out of zone waiver, he/she will be immediately eligible. However, if that student transfers back to their zoned school, the student will be required to “sit out” for 365 consecutive calendar days before becoming eligible. When a rising 10th, 11th, or 12th grade student transfers into an out of zone school, the student will be required to “sit out” for 365 consecutive calendar days before becoming eligible for VHSL activities such as athletics. If you have any questions concerning your child’s eligibility contact the school’s athletic director or building principal. Schools begin accepting out of zone applications for the next school year on March 1. A new application must be completed each school year to determine space availability. Non-resident students must be in good standing at their current school. Parents/guardians will be informed of their child’s application status by August 15. Consideration for out of zone placement is based on a review of student grades, attendance, discipline record, and space availability. If approved, parents must provide transportation.