Tuition Transfer Request Form

TUITION TRANSFER REQUEST
THIS TRANSFER REQUEST IS VALID ONLY FOR THE SCHOOL YEAR INCLUDED ON THIS FORM. YOU MUST REAPPLY YEARLY. YOU WILL RECEIVE AN APPROVAL OR DENIAL FOR THIS REQUEST AT THE EMAIL ADDRESS PROVIDED.
Transfer School Year *
Which year will the transfer take effect?
Parent/Guardian *

First Name Middle Initial Last Name
Date *
Phone Number *

Area Code Phone Number
Current Address *

Street Address

Street Address Line 2

City State

Zip Code Country
Email *
example@example.com
Number of Student(s)
Maximum 4 Students

Student 1
Home School District *
Previous/Current School *
School Attended Most Recently
Name of Student *

Prefix First Name Middle Name Last Name Suffix
Age *
Date of Birth *

Month Day Year
Grade Last Year *
0 - 12
Grade This Year *
0 - 12
Transfer School *
Name of School you are Requesting
Special Classes or Programs Requested or Required
Days Absent Previous Year *
Behavior Issues Last Year

Student 2
Home School District *
Previous/Current School *
School Attended Most Recently
Name of Student 2 *

Prefix First Name Middle Name Last Name Suffix
Age *
Date of Birth *

Month Day Year
Grade Last Year *
0 - 12
Grade This Year *
0 - 12
Transfer School *
Name of School you are Requesting
Special Classes or Programs Requested or Required
Days Absent Previous Year *
Behavior Issues Last Year

Student 3
Home School District *
Previous/Current School *
School Attended Most Recently
Name of Student 3 *

Prefix First Name Middle Name Last Name Suffix
Age *
Date of Birth *

Month Day Year
Grade Last Year *
0 - 12
Grade This Year *
0 - 12
Transfer School *
Name of School you are Requesting
Special Classes or Programs Requested or Required
Days Absent Previous Year *
Behavior Issues Last Year

Student 4
Home School District *
Previous/Current School *
School Attended Most Recently
Name of Student 4 *

Prefix First Name Middle Name Last Name Suffix
Age *
Date of Birth *

Month Day Year
Grade Last Year *
0 - 12
Grade This Year *
0 - 12
Transfer School *
Name of School you are Requesting
Special Classes or Programs Requested or Required
Days Absent Previous Year *
Behavior Issues Last Year

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Athletic eligibility does NOT automatically go with a high school student when transferring from one school to another. Athletic eligibility will be determined by I.H.S.A.A. rules and regulations along with the school districts involved.

Transportation is not provided for Out-of-District Transfer Students.
Please state the reason for this transfer request *
By completing and signing this application you give Muncie Community Schools personnel permission to inquire about grades, special programming, attendance and discipline of your student.
Parent/Guardian Signature *

First Name Last Name
Date *
Signature *

Clear
Reviewed By *

Rachel Young Collapse
Application Status *

Approved Denied
Signature *

Clear

Chuck Reynolds Collapse
Transfer Status *
Notify School *
Reviewing Administrator Signature *

Clear

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Notes
Should be Empty: