Header EVSC Parent Access
* Field is required
Request for Enrollment


Thank you for choosing the Evansville Vanderburgh School Corporation in Evansville, Indiana!

Please Note: This form should be used to register any student to a school in the EVSC.

  • Have Documents Ready! Please have your child's birth certificate, immunization records, and proof of Indiana residency (utility bill, mortgage statement, lease agreement, etc...) ready for upload on the next screen. Pictures or scanned copies of the documentation are acceptable.
  • Your request will be routed to your school of residence.
  • The school will review the request and contact you with additional information.
  • Need Extended Daycare? There is an application process for daycare. Please visit Extended Daycare for more information.
  • Need Bus transportation? Bus must be applied for and is NOT guaranteed. This form will not request bus transportation for your child. Please visit Bus Application for more information.
  • If you are enrolling for the Next School Year (2022-2023), please note that in the comment box at the bottom of this form.
Student's Legal Last Name *
Student's Legal First Name *
Student Middle Name *
Student Suffix (Jr., Sr.)  
Grade *
Student Birthdate * mm/dd/yyyy
Gender *
Student Social Security
Student Place of Birth (City/State) (If outside US/Canada use City textbox for City/State)*  
Does your child have an Individualized Education Plan (IEP)? *
What will be your child's mode of transportation for the upcoming school year? *
     
Student Home Address *
Student Home Apartment  
Student Home City/State *  
Student Home Zip *
Student Home Phone *
Student Lives With *
Student Custody/Guardianship *
     
Parent/Guardian(s) *
You must enter information for at least one legal parent/guardian, but may enter up to two.
Legal Parent/Guardian 1 Last Name
Legal Parent/Guardian 1 First Name  
Legal Parent/Guardian 1 Phone
Legal Parent/Guardian 1 Email
Legal Parent/Guardian 1 Address
(if different from student)
Legal Parent/Guardian 1 Apartment  
Legal Parent/Guardian 1 City/State  
Legal Parent/Guardian 1 Zip  
     
Legal Parent/Guardian 2 Last Name
Legal Parent/Guardian 2 First Name  
Legal Parent/Guardian 2 Phone
Legal Parent/Guardian 2 Email
Legal Parent/Guardian 2 Address
(if different from student)
Legal Parent/Guardian 2 Apartment  
Legal Parent/Guardian 2 City/State  
Legal Parent/Guardian 2 Zip  
Work Information
  Employer Name Address City/State Phone
Parent/Guard 1 Work  
Parent/Guard 2 Work  
Emergency/Contact Information
  Name Address City/State Phone
1  
2  
3  
4  
Doctor Name  
Doctor Phone
Dentist Name  
Dentist Phone
Babysitter/Daycare  
Babysitter/Daycare Phone
Last School Attended *
Has your child ever been enrolled in an Indiana school? *
School or Preschool Name
(enter "none" if no last school or preschool)
City/State  
Phone
Ethnicity *
Is this student Hispanic Latino?
Race *
Choose all that apply.
   
   
   
   
   
   
Siblings Enrolled at This District
Name School Grade
Comments or Additional Information
Signature
Full Name of Registering Adult *
 
     
     
     
  copyright 1985 to 2023 Regional Data Services