07.60 AP2 E2 Letter of Residence to be Used When the Person Seeking to Enroll a Student Is Living with a District Resident

A person seeking to enroll a child should use this form as evidence of residency when he or she cannot produce a lease, purchase property agreement, or other similar document – other documents will also be required to establish residency. The School District reserves the right to evaluate the evidence presented; completing this form does not guarantee admission.

To be completed by the individual enrolling the child and returned to the Principal. Please print.


Child	School

Individual enrolling the child	Phone

Relationship to the child	Email

Residence street address	City	Zip code

Signature of the individual enrolling the student	Date

To be completed and signed by the individual who is responsible for the residence. Please print.


Name of the individual who is responsible for the residence		Phone
I am responsible for this residence by ☐ ownership, ☐ lease, or ☐ other
Total number of: Persons living at this residence Rooms in residence Bedrooms
State the reasons for this living arrangement, including your relationship to the individual enrolling the child (attach an additional statement to this form if needed):

I certify that this information is true and that the individuals named above are living in my residence.

Signature of the individual who is responsible for the residence		Date

WARNING: If a student is determined to be a nonresident of the District for whom tuition must be charged, the persons enrolling the student are liable for nonresident tuition from the date the student began attending a District school as a nonresident.

A person who knowingly enrolls or attempts to enroll in this School District on a tuition-free basis a student known by that person to be a nonresident of the district is guilty of a Class C misdemeanor, except in very limited situations as defined in State law. (105 ILCS 5/10-20.12b(e)).

A person who knowingly or willfully presents to the School District any false information regarding the residency of a student for the purpose of enabling that student to attend any school in that district without the payment of a nonresident tuition charge is guilty of a Class C misdemeanor. (105 ILCS 5/10-20.12b(f)).

UPDATED: December 6, 2021