Census Information

Census form:

Census form

 

Seymour Community School District Census
 
Each year the Seymour Community School District is required by state statute to report to the Wisconsin Department of Public Instruction the number of children, by age and gender, who reside within the district boundaries. This census counts all children from ages new born through 20. So if you are new to the district or have moved within the district it is important that we keep our count as accurate as possible. This information is also important when sending out letters to parents regarding any pre-school or Kindergarten screenings. 
 
Thank you for your cooperation in completing the form below.
 
 
*

Parent/Guardian Last Name

*

First Name

*

Middle Initial

*

Relationship to Child (i.e. Father, Step-mother etc.)

Spouse or Second Adult Last Name

First Name

Middle Initial

Relationship to Child (i.e. Father, Step-mother, etc.)

*

Physical Home Address

P. O. Box Number

*

City/Village

*

State

*

Zip Code

*

Home Telephone Number

Cell Phone Number

Email Address

*

County

County

Outagamie
Shawano
*

Township, City or Village of

Child's Data

1. List any child between the ages of new born to 20 years of age residing at the address listed above.

2.  If any child has a diagnosed disability, and needs special education services from the school district, mark the Special Needs box.

 

*

Last Name

*

First Name

*

M.I.

*

Gender

Gender

Male
  Female
*

Birthday (MM/DD/YYYY)

*

Ethnic code

*

School attending Fall of 2010

*

Grade Attending, Fall 2010

Grade Attending, Fall 2010

Pre-K
  6
Kdgn
  7
1
  8
2
  9
3
  10
4
  11
5
  12
Not enrolled

Special Needs:  If your child has a diagnosed disability, and needs special education services from the school district, choose  the "Yes" button.

Special Needs:  If your child has a diagnosed disability, and needs special education services from the school district, choose  the "Yes" button.

Yes
  No
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  • Seymour Community School District
  • 10 Circle Drive Seymour, WI 54165
  • Phone: See School homepage
  • Seymour Community School District
  • 10 Circle Drive Seymour, WI 54165
  • Phone: See School homepage