Student's name: *

First Name

Last Name

Date of birth: *

MM

DD

YYYY

Home address: *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Mailing address:

If different from home address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parent name: *

First Name

Last Name

Phone: *

(###)

###

####

Does the student have a sibling already enrolled at WEVS or who was a WEVS student for 4+ grades?: *

Yes

No

Has the student ever been expelled? WEVS follows § 115C-218.45(i) on the matter. *

Yes

No

Confirm NC residency of student. (Click box below and also submit one of following: copy of deed or most recent mortgage payment, copy of lease agreement, utility bill dated within last 30 days, vehicle or property tax dated within past year, or bank of CC statement with current address dated within the past 60 days):

WEVS can only enroll children who are NC residents

Yes, the student is a resident of NC.