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Fax Document to: 18664677740FREEDOM OF CHOICE TM ENROLLMENT FORMPATIENTPatient Name:Date of Birth:Address:Apt/Unit #:Telephone:Email:Prescriber:Representative Telephone (if different): Current Treatment:Prescriber
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To fill out a dom of choice enrollment, follow these steps: 1. Obtain the dom of choice enrollment form from the appropriate educational institution or website.
02
Read the instructions carefully to understand the requirements and deadlines for submitting the form.
03
Fill out the personal information section accurately, including your full name, date of birth, contact information, and any other relevant details.
04
Provide details about your educational background, including previous schools attended and any qualifications or certifications obtained.
05
Indicate your preferred choice of educational program or institution.
06
Attach any necessary supporting documents, such as transcripts, letters of recommendation, or personal statements, as specified in the instructions.
07
Review the completed form to ensure all information is accurate and complete.
08
Sign and date the form as required.
09
Submit the completed dom of choice enrollment form according to the provided instructions and deadlines.
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Keep a copy of the form for your records.

Who needs dom of choice enrollment?

01
Dom of choice enrollment is needed by individuals who wish to apply for enrollment or transfer to a specific educational program or institution.
02
It is commonly used by students seeking admission to schools or colleges, individuals applying for specialized training programs, or professionals looking to upgrade their qualifications.
03
Anyone who wants to have the freedom to choose their educational path or institution can benefit from filling out the dom of choice enrollment.
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DOM (District of Choice) enrollment allows students to attend schools outside of their resident district if space is available.
Parents or guardians of students who wish to attend a school outside of their resident district.
Parents or guardians must contact the school district where they wish to enroll their child and follow their specific enrollment procedures.
The purpose is to provide students and families with options for attending schools that may better suit their educational needs.
Typically, information such as student demographics, previous academic records, and reason for choosing a specific school is required.
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