Step 1: Notice of Intent to Participate Form

Directions for this page:

By law, a resident district must be informed if a student intends to participate in the choice program.  Therefore parents/guardians of students who intend to participate in the choice program as of the 2025/2026 school year:

1. Must print and complete the Notice of Intent to Participate Form shown on this page;  

2. by 4:00 PM on Monday, November 24, 2025 submit it to your resident district and obtain a signed receipt from your resident district acknowledging that you submitted the form; and

3. by 4:00 PM on Monday, November 24, 2025 email Roxbury's Choice Program point-of-contact Lauren Dubek (ldubek@roxbury.org) a scanned copy of your Notice of Intent to Participate Form and the the signed receipt your resident district provided you. Keep the originally completed Notice of Intent to Participate Form and signed receipt for your records.

Roxbury Choice Program Application Process-  Step 1: Notice of Intent to Participate Form | Step 2: Online Application | Step 3: Portfolio Submission | Step 4: Documentation of Services