Student Intent Form 2023-2024 You must have JavaScript enabled to use this form. Complete the following form in order to indicate your student's intent for the next school year at Rose Hill Elementary School. This information is important for the following reasons: staffing is based on enrollment and state regulations require that we determin the educational intentions of students leaving FCPS. Student First Name Student Last Name Student ID Number Student Current Grade Level PAC/PreschoolKindergartenFirst GradeSecond GradeThird GradeFourth GradeFifth Grade Parent Contact Information Parent Name Email Phone Address City/Town State/Province - None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle EastArmed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederate States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP/Postal Code Will the above-named student return to this school next year? YES NO If “YES” was checked, submit the form. If “NO” was checked, please complete section below, and then submit the form. Select the appropriate statement below. I am transferring to another FCPS.I am transferring to a nonpublic school (includes Home School).I am transferring to another public school division in Virginia.I am transferring to a public-school division in the United States. Name of New School I do not intend to enroll in any public or nonpublic school next year. Please explain what you will be doing. Work Live in another country Treatment Center Other… Enter other… Leave this field blank
