Cedar Rapids Community School District - 2023-2024 In-District Permit Application Form
2023-2024 In-District Permit Application Form
Organization:
Cedar Rapids Community School District
Assigned To:
Public User
Show History
Refer to Procedure 602.4a to determine if your student requires / qualifies for a permit.
Resident School
Requested School
Year
Arthur Elementary
Cleveland Elementary
Erskine Elementary
Garfield Elementary
Grant Elementary
Grant Wood Elementary
Erskine Elementary
Franklin Middle School
Garfield Elementary
Grant Elementary
Grant Wood Elementary
Harding Middle School
Harrison Elementary
Hiawatha Elementary
Hoover Elementary
Jefferson High School
Johnson Elementary
Kennedy High School
Kenwood Elementary
Madison Elementary
Maple Grove Elementary
McKinley Middle School
Metro High School
Nixon Elementary
Pierce Elementary
Roosevelt Middle School
Taft Middle School
Taylor Elementary
Truman Elementary
Van Buren Elementary
Viola Gibson Elementary
Washington High School
West Willow Elementary
Wilson Middle School
Wright Elementary
Resident School required
Arthur Elementary
Cedar Rapids Virtual Academy
Cleveland Elementary
Erskine Elementary
Garfield Elementary
Grant Elementary
Grant Wood Elementary
Erskine Elementary
Franklin Middle School
Garfield Elementary
Grant Elementary
Grant Wood Elementary
Harding Middle School
Harrison Elementary
Hiawatha Elementary
Hoover Elementary
Jefferson High School
Johnson Elementary
Kennedy High School
Kenwood Elementary
Madison Elementary
Maple Grove Elementary
McKinley Middle School
Metro High School
Nixon Elementary
Pierce Elementary
Roosevelt Middle School
Taft Middle School
Taylor Elementary
Truman Elementary
Van Buren Elementary
Viola Gibson Elementary
Washington High School
West Willow Elementary
Wilson Middle School
Wright Elementary
Requested School required
2023-24
Year required
School Currently Attending
Date of Application
Grade
Arthur Elementary
Cedar Rapids Virtual Academy
Cleveland Elementary
Erskine Elementary
Garfield Elementary
Grant Elementary
Grant Wood Elementary
Erskine Elementary
Franklin Middle School
Garfield Elementary
Grant Elementary
Grant Wood Elementary
Harding Middle School
Harrison Elementary
Hiawatha Elementary
Hoover Elementary
Jefferson High School
Johnson Elementary
Kennedy High School
Kenwood Elementary
Madison Elementary
Maple Grove Elementary
McKinley Middle School
Metro High School
Nixon Elementary
Other
Pierce Elementary
Roosevelt Middle School
Taft Middle School
Taylor Elementary
Truman Elementary
Van Buren Elementary
Viola Gibson Elementary
Washington High School
West Willow Elementary
Wilson Middle School
Wright Elementary
School Currently Attending required
Date of Application required
Grade required
Student:
Last Name
First Name
Middle Name
Last Name required
First Name required
Birth Date
Gender
Special Education (IEP)
Birth Date required
Female
Male
Gender required
Yes
No
Special Education (IEP) required
Reason for Permit Request
Student has moved to a different school outside of their attendance zone and would like to continue at their current school.
Student will be attending requested school with a sibling.
Student requires a transfer for documented safety reasons.
Unique family circumstances.
Reason for Permit Request required
Sibling Information:
Sibling Name
Current Grade
Current School
Arthur Elementary
Cleveland Elementary
Erskine Elementary
Garfield Elementary
Grant Elementary
Grant Wood Elementary
Erskine Elementary
Franklin Middle School
Garfield Elementary
Grant Elementary
Grant Wood Elementary
Harding Middle School
Harrison Elementary
Hiawatha Elementary
Hoover Elementary
Jackson Elementary
Jefferson High School
Johnson Elementary
Kennedy High School
Kenwood Elementary
Madison Elementary
McKinley Middle School
Metro High School
Nixon Elementary
Pierce Elementary
Roosevelt Middle School
Taft Middle School
Taylor Elementary
Truman Elementary
Van Buren Elementary
Viola Gibson Elementary
Washington High School
West Willow Elementary
Wilson Middle School
Wright Elementary
Name of Parent / Legal Guardian:
Parent Last Name
Parent First Name
Parent Last Name required
Parent First Name required
Home Address:
Street
City
Zip
Street required
City required
Zip required
Parent's Contact Information:
Parent's Phone Number:
Parent's Email Address:
Parent's Phone Number: required
Parent's Email Address: required
Proof of Residency
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I understand that:
When a permit is approved, transportation becomes the responsibility of the parent / guardian. (Board Procedure 602.4a)
Athletic eligibility for high school students is restricted from the date the initial permit is effective. (Board Regulation 602.9)
Proof of Residency must be attached. This is retained with student records at the building. (Board Procedure 602.4c)
Permits may be revoked based on attendance, falsification of information, or at the discretion of a district official.
I certify that this information is true and correct
(to sign it type in your name and click 'Digitally Sign')
Signing
Signature is required
By typing in your name (your “eSignature”), you accept and consent to be legally bound by this document’s statements, terms and conditions as if this document was signed by you in writing with pen on paper. You agree that no third party or other means of verification is necessary to validate your eSignature and that the lack of such third party or other means of verification will not in any way affect the enforceability of this document.
FOR ADMINISTRATION ONLY
District Administrator:
Approve or Deny:
Date Signed:
Approved
Denied
Signature:
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History
Step:
In-District Permit Application Form Submitted
Sent To: Public User, On:
12/8/2025 7:13:39 AM Central Standard Time