Homeless Education Program
SCHOOL DISPUTE
WRITTEN NOTIFICATION OF ENROLLMENT DECISION
To be completed by the receiving school when an enrollment request is denied for a homeless student.
Date: __________________ School: _______________________________________________________________
School Administrator: ____________________________________________ Title: ___________________________
In compliance with Section 722(g) (3) (E) of the McKinney-Vento Homeless Education Assistance Act of 2001,
the following written notification is provided to:
Parent /Guardian: _______________________________________________________________________________
Address: ______________________________________________________________________________________
Student(s):____________________________________________________________________________________
After reviewing your request to enroll the student(s) listed above, the enrollment request is denied. This determination was
based upon:
Not the School-of-Origin
School-of-origin is ______________________________________________________________________
Not the Zoned School serving the student(s) attendance address
Zone school is _________________________________________________________________________
Other: ____________________________________________________________________________________
You have the right to appeal this decision by completing the accompanying Dispute Resolution Form and contacting the
homeless liaison.
School Social Work Department Phone number: (678) 676-1804
Attn: Sonja Tobler, Homeless Education Liaison Fax number: (678) 676-1831
5871 Memorial Drive
Stone Mountain, GA 30083
In addition:
O The student has the right to immediately enroll in the receiving school pending resolution of the dispute.
O This decision may be appealed through the provisions of the DeKalb County Board of Education Parent Dispute
Resolution process.
O You may provide written documentation to support your position using the JBC(1)-E (4) Parent Dispute Resolution
Form attached to this notification.
The DeKalb County School District does not discriminate on the basis of race, color, religion, sex, age, national origin, disability, veteran status,
marital status, or sexual orientation in any of its employment practices, educational programs, services or activities. For additional information
about nondiscrimination provisions, please contact Student Support & Interventions located at 1701 Mountain Industrial Boulevard, Stone
Mountain, GA 30083. Phone number 678-676-1200.
JBC (1) - E (5) Revised January 2018
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