File: JFA-E-1


    I/We, the parent(s), legal guardian(s) or responsible adult of

    _______________________________________________________ hereby certify as follows:

    (Print student’s full name)

    1. I/We wish to enroll the above named student in the Sharon Public Schools. I/We understand that pursuant to Massachusetts General Law (Chapter 76, Section 5) and Sharon Public School’s Policy, students who actually reside in the Town of Sharon may attend the Sharon Public Schools (SPS) and students who do not actually reside in the Town of Sharon may not attend the Sharon Public Schools.
    1. I/We hereby certify that effective ____________________, 20___, the above named student is/will be residing at the following address in Sharon, Massachusetts, with:


    Printed Name(s) of Parent(s)/Guardian(s)/Responsible Adult(s)

    At ___________________________________________________ Sharon, MA 02067

    No.                 Street                  Apt/Unit No.

    Home Phone: _________________ Cell Phone: _________________ Work Phone: _______________

    1. I/We acknowledge that I am/we are required to notify the Sharon Public Schools or the above student’s school, in writing, of any change in said student’s address within five (5) business days of such change of address.
    1. I/We understand that the Sharon Public Schools will rely upon this Occupancy Statement for the purpose of determining the above student’s eligibility to attend the Sharon Public Schools on the basis of residency. If said student is enrolled in the Sharon Public Schools based upon the information provided and it is subsequently determined that the student does not actually reside in Sharon, I/we understand that the student’s enrollment in the Sharon Public Schools will be promptly terminated and I/we will be jointly liable to the Sharon Public Schools for the student’s tuition for the full academic year(s).
    1. I/We further certify that I am/we are the parent(s), legal guardian(s), or responsible adult of the above student.
    1. I/We understand that all applicants must reside in the Town of Sharon as outlined in Massachusetts General Laws Chapter 76, Section 5 which states:

    Every person shall have a right to attend the public schools of the town where he/she actually resides, subject to the following section. No school committee is required to enroll a person who does not actually reside in the town unless said enrollment is authorized by law or by the school committee. Any person who violates or assists in the violation of this provision may be required to remit full restitution to the town of the improperly-attended public schools. No person shall be excluded from or discriminated against in admission to a public school of any town, or in obtaining the advantages, privileges and courses of study of such public school on account of race, color, sex, religion, national origin or sexual orientation. (Amended by st. 1971, c.622, c.1; st. 1973, c. 925, s.9A, st. 1993, c.282; st.2004, c.352, s.33)

    Signed under the pain and penalties of perjury on this _______ day of ______________, 20___:


    Parent/Guardian/Responsible Adult (Please circle Relationship)


    Parent/Guardian/Responsible Adult (Please circle Relationship)

    All applicants for enrollment must submit at least one document from Column A, and documents from each of two areas in columns B and C and any other documents that may be requested, including but not limited to those from Column A, B, or C (noted below). If new to Sharon, there will be a 60-day grace period for providing information required in columns B and C. Students over 18 years of age not residing with a parent or guardian/proxy must provide proof of residency as required below. Separate provisions are provided for students covered under the Homelessness Act (MGL c.76S5).

    A parent, guardian, or student who is unable to produce the required documents should contact the Superintendent of Schools.

    COLUMN A   (1 box)

    COLUMN B   (2 boxes)

    COLUMN C   (2 boxes)

    Evidence of Residency

    Showing the Sharon address

    Evidence of Occupancy

    Showing the Sharon address

    Evidence of Identification (Photo ID)

    Showing the Sharon address

    for both parents (if   applicable)

    Record of recent mortgage   payment and/or property tax bill or Excise Tax bills for all vehicles   together with Vehicle Registration(s)

    Bills showing usage:   Gas/Oil Bill, Electric Bill, Home Telephone Bill (not cell), Cable Bill,   Water Bill.

    (Note: Bill must be dated   within the past 45 days. The Sharon   address and name must be stated)

    Valid MA Driver’s   License(s)


    Valid MA Photo ID Card(s)

    Fully signed and executed   Lease and/or Rental Agreement

    (Must be executed by both   parties)

    Recent bill dated within   the past 45 days showing Sharon address and name

    (Note: A Residency   Statement /Affidavit is required with this option)

    Valid Passport(s)


    Other Government issued   Photo ID(s)

    Landlord/Owner of Property   Affidavit

    (see Residency   Statement/Affidavit below)

    Occupancy Statement/Affidavit must be notarized if a bill can not be provided prior to student’s   enrollment.

    Bank statement or credit   card bill

    (Financial   information may be blocked out.)

    Fully signed and executed   Purchase and Sale (P&S) Agreement

    (provided occupancy date   occurs within 30 days of enrollment)

    Sharon Trash collection   bills or regular use of school bus transportation.

    W-2   or Payroll Stub(s) showing Sharon address

    (Salary   information may be blocked out.)

    The Principal, or his/her designee, shall verify the home address and home telephone number of each student at least once during the school year. Any irregularities shall be reported promptly to the Superintendent of Schools. Parents are required to notify the school of any changes of their address or the address of the student within five business days of the change.


    Sharon Staff Member’s signature

    verifying/copying/attaching original documentation

    Statement of Notary Public:

    Commonwealth of Massachusetts

    Norfolk County, ss.

    On this ____ day of ___________, 20__, before me, the undersigned notary public, personally appeared __________________________________ (name of document signer), proved to me through satisfactory evidence of identification, which were _______________________, to be the person whose name is signed on the preceding or attached document, and acknowledged to me that he/she signed it voluntarily for its stated purpose.


    Notary Public

    My Commission Expires: