Student Transfer Request
Date of Transfer Request Made
*
-
Month
-
Day
Year
1
Hour Minutes
AM
PM
AM/PM Option
Student's Name
*
First Name
Middle Name
Last Name
Suffix
Student's Date of Birth
*
-
Month
-
Day
Year
2
Village
*
School Year
Grade Level
*
Please Select
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Requested School
*
The school that the student is requesting to be transferred to.
Grade Level at Requested School
*
Please Select
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Is the Student's Residence Out-of-Zone?
*
Please Select
Yes
No
If yes, please upload the Zone Waiver Request Form.
Browse Files
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of
PARENT/LEGAL GUARDIAN AGREEMENT
*
By checking this box, as the parent/guardian of the student above, I verify that the information is accurate, and I agree to the terms of the transfer request.
Parent/Guardian's Name
*
Prefix
First Name
Middle Name
Last Name
Suffix
Relationship to Student
*
Parent/Guardian's Email Address
example@example.com
Contact Number
*
Please enter a valid phone number.
Parent/Guardian Signature
*
Submit
Should be Empty: