WA-ADMIN-001-00 Student Placement Agreement Academic Year2017 - 20182018 - 20192019 - 20202020 - 20212021 - 20222022 - 20232023 - 20242024 - 2025District InformationSchool DistrictDistrictAdams-Friendship AreaAshlandButternutGliddenMellenBarron AreaCameronChetekCumberlandPrairie FarmRice Lake AreaTurtle LakeBayfieldDrummond AreaSouth ShoreWashburnAshwaubenonDe PereDenmarkGreen Bay AreaHoward-SuamicoPulaski CommunityWest De PereWrightstown CommunityAlmaCochrane-Fountain CityGilmantonMondoviGrantsburgSirenWebsterBrillionChiltonHilbertNew HolsteinStockbridgeBloomerCadott CommunityChippewa Falls AreaCornellLake HolcombeNew AuburnStanley-Boyd AreaAbbotsfordColbyGranton AreaGreenwoodLoyalNeillsvilleOwen-WitheeThorpCambria-FrieslandColumbusFall RiverLodiPardeeville AreaPortage CommunityPoynetteRandolphRio CommunityNorth CrawfordPrairie du Chien AreaSenecaWauzeka-SteubenBellevilleCambridgeDe Forest AreaDeerfield CommunityMadison MetropolitanMarshallMcFarlandMiddleton-Cross PlainsMonona GroveMount Horeb AreaOregonStoughton AreaSun Prairie AreaVerona AreaWaunakee CommunityWisconsin HeightsBeaver DamDodgelandHerman #22HoriconHustisfordLomiraMayvilleNeosho J3Rubicon J6Gibraltar AreaSevastopolSouthern DoorSturgeon BayWashingtonMapleSolon SpringsSuperiorBoyceville CommunityColfaxElk Mound AreaMenomonie AreaAltoonaAugustaEau Claire AreaFall CreekFlorenceCampbellsportFond du LacNorth Fond du LacOakfieldRiponRosendale-BrandonWaupunCrandonLaonaWabeno AreaBoscobel AreaCassvilleCuba CityFennimore CommunityLancaster CommunityPlattevillePotosiRiver RidgeRiverdaleSouthwestern WisconsinAlbanyBrodheadJudaMonroeMonticelloNew GlarusBerlin AreaGreen LakeMarkesanPrincetonBarneveldDodgevilleHighlandIowa-GrantMineral PointHurleyMercerAlma CenterBlack River FallsMelrose-MindoroFort AtkinsonJeffersonJohnson CreekLake Mills AreaPalmyra-Eagle AreaWaterlooWatertownMaustonNecedah AreaNew LisbonRoyallWonewoc-Union CenterBrighton #1Bristol #1Central/Westosha UHSKenoshaParis J1Randall J1SalemSilver Lake J1Trevor-Wilmot ConsolidatedTwin Lakes #4Wheatland J1Wilmot UHSAlgomaKewauneeLuxemburg-CascoBangorHolmenLa CrosseOnalaskaWest SalemArgyleBelmont CommunityBentonBlack HawkDarlington CommunityPecatonica AreaShullsburgAntigoElchoWhite LakeMerrill AreaTomahawkKiel AreaManitowocMishicotReedsvilleTwo RiversValders AreaAthensD C Everest AreaEdgarMarathon CityMosineeSpencerStratfordWausauBeecher-Dunbar-PembineColemanCrivitzGoodman-ArmstrongMarinetteNiagaraPeshtigoWausaukeeMontelloWestfieldMenominee IndianBrown DeerCudahyFox Point J2Franklin PublicGlendale-River HillsGreendaleGreenfieldMaple Dale-Indian HillMilwaukeeNicolet UHSOak Creek-FranklinSaint FrancisShorewoodSouth MilwaukeeWauwatosaWest AllisWhitefish BayWhitnallCashtonNorwalk-Ontario-WiltonSparta AreaTomah AreaGillettLenaOcontoOconto FallsSuringLakeland UHSMinocqua J1RhinelanderThree LakesAppleton AreaFreedom AreaHortonvilleKaukauna AreaKimberly AreaLittle Chute AreaSeymour CommunityShioctonCedarburgGraftonMequon-ThiensvilleNorthern OzaukeePort Washington-SaukvilleDurandPepin AreaEllsworth CommunityElmwoodPlum CityPrescottRiver FallsSpring ValleyAmeryClaytonClear LakeFredericLuckOsceolaSaint Croix FallsUnityAlmond-BancroftRosholtStevens Point AreaTomorrow RiverPark FallsPhillipsPrenticeBurlington AreaDover #1North CapeNorway J7RacineRaymond #14Union Grove J1Union Grove UHSWashington-CaldwellWaterford Graded J1Waterford UHSYorkville J2IthacaRichlandBeloitBeloit TurnerClinton CommunityEdgertonEvansville CommunityJanesvilleMiltonParkviewBruceFlambeauLadysmith-HawkinsWeyerhaeuser AreaBaldwin-Woodville AreaGlenwood CityHudsonNew RichmondSaint Croix CentralSomersetBarabooReedsburgRiver ValleySauk PrairieWestonWisconsin DellsHayward CommunityWinterBonduelBowlerGreshamShawanoTigertonWittenberg-BirnamwoodCedar Grove-Belgium AreaElkhart Lake-GlenbeulahHowards GroveKohlerOostburgPlymouthRandom LakeSheboygan AreaSheboygan FallsGilmanMedford AreaRib LakeArcadiaBlair-TaylorEleva-StrumGalesville-Ettrick-TrempealeauIndependenceOsseo-FairchildWhitehallDe Soto AreaHillsboroKickapoo AreaLa FargeViroqua AreaWestby AreaLac du Flambeau #1North LakelandNorthland PinesPhelpsWoodruff J1Big Foot UHSDelavan-DarienEast Troy CommunityElkhorn AreaFontana J8Geneva J4Genoa City J2Lake Geneva J1Lake Geneva-Genoa City UHSLinn J4Linn J6Sharon J11Walworth J1WhitewaterWilliams BayBirchwoodNorthwoodShell LakeSpoonerErinFriess LakeGermantownHartford J1Hartford UHSKewaskumRichfield J1SlingerWest BendArrowhead UHSElmbrookHamiltonHartland-Lakeside J3Kettle MoraineLake CountryMenomonee FallsMerton CommunityMukwonagoMuskego-NorwayNew BerlinNorrisNorth LakeOconomowoc AreaPewaukeeRichmondStone BankSwallowWaukeshaClintonvilleIola-ScandinaviaManawaMarionNew LondonWaupacaWeyauwega-FremontTri-County AreaWautoma AreaWild RoseMenashaNeenahOmroOshkosh AreaWinneconne CommunityAuburndaleMarshfieldNekoosaPittsvillePort EdwardsWisconsin RapidsBrown Co CDEBDept of Public InstructionWalworth Co CDEBHome School District Representitive First Last Title PhoneEmail Student InformationStudent Name First Last Date of Birth MM slash DD slash YYYY Social Security Number Student Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Parent / Legal Guardian InformationName First Last RelationshipParentLegal GuardianOtherOther Relationship Address Same as Student Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneEmail Tuition and FeesFee Per DaySemester I DaysCost for Semester ISemester II DaysCost for Semester IIProbationary Period Fee (Per Day)One Way Trip Charge