Student Information Update

Information

Parent, Guardian and Student Details

Student's First Name *

Student's Last Name *

Student's OSIS Number

Parent or Guardian's First Name *

Parent or Guardian's Last Name *

Phone Number

Email Address *

Phone Number Change Details

New Phone Number

Proof of Phone Bill *

Change of Guardian Details

New Parent or Guardian's First Name *

New Parent or Guardian's Last Name *

Legal Documentation Upload *

Change of Date of Birth Details

Updated Date of Birth * +

Birth Certificate Upload *

Student Name Details

New Student Name *

Name Documentation Upload *

Other Information Change Request

What information do you need updated? *

Any relative documentation for us?

Anything we should know?

Old Mailing Address Details

Street Address

City

State/Province/Region

Zip/Postal Code

New Mailing Address Details

Street Address(NEW)

City(NEW)

State/Province/Region(NEW)

Zip/Postal Code(NEW)

Determination & Verification of Residency

Proof of address may be verified by any two of the following:

a. a lease agreement, deed or mortgage statement for the residence;

b. a residential utility bill (gas or electric) in the resident’s name issued by
a utility company (e.g., National Grid or Con Edison); must be dated
within the past 60 days;

c. a bill for cable television services provided to the residence; must
include the name of the parent and address of the residence and be
dated within the past 60 days;

d. documentation or letter on letterhead from a federal, state, or local
government agency, including the IRS, the City Housing Authority, the
federal Office of Refugee Resettlement, the NYC Human Resources

Administration, or the NYC Administration for Children’s Services
(ACS), or an ACS subcontractor, indicating the resident’s name and
address; must be dated within the past 60 days;

e. a current property tax bill for the residence;

f. a water bill for the residence; must be dated within the past 90 days;

g. rent receipt which includes the address of residence; must be dated
within the past 60 days;

h. State, city, or other government issued identification (including an
IDNYC card); which has not expired and includes the address of
residence;

i. income tax form for the last calendar year;

j. official NYS Driver’s License or learner’s permit, which has not expired;

k. official payroll documentation from an employer issued within the past
60 days such as a pay stub with home address, a form submitted for
tax withholding purposes or payroll receipt (a letter on the employer’s
letterhead is not adequate); must include home address and be dated
within the past 60 days;

l. voter registration documents, which include the name of the parent
and the address of residence;

m. unexpired membership documents based upon residency (e.g.,
neighborhood residents’ association), which include the name of the
parent and the address of residence;

n. evidence of custody of the child, including but not limited to judicial
custody orders or guardianship papers; documents must have been
issued within the past 60 days and include name of child and address
of residence.

Proof of address One *

Proof of address Two *

Still having trouble?

If you're still having trouble with this form and it's requirements you may call Midwood High School and speak with our Pupil Personal - Trisha Jaworsky

Phone: - 718-724-8500 Ext:8522.

Email: - Tjaworsky@schools.nyc.gov