Application for Interdistrict Transfer 2024/2025 - English

Interdistrict Transfer Request

This form is for students who live within MHUSD boundaries who wish to attend a school in another school district
Type of Request:*

NewRenew
School Year *
Residence School
District Requested*
School Requested*
Student's name (Last, First)*
Date of Birth*

MonthDayYear
Date
Grade Level in School Year Requested*

Parent/Guardian name*
Email*
example@example.com
Phone Number*
Address*

Home address

Street Address Line 2

City/ZipState / Province

Postal / Zip Code
I.E.P.?*

NoYes
If yes, please upload most recent IEP

Cancelof

REASON FOR REQUEST

ATTACH ALL SUPPORTING DOCUMENTATION TO THIS REQUEST. IMPORTANT: Failure to provide required documentation may delay processing of this request.
Check one or more of the reasons for the request listed below:*

Recent change of residence (within last 12 months only)Child care (K-6th grade students only)Employment within (area) of requested districtSocial/Emotional changeSpecial program offeredOther
Date of move within last 12 months

MonthDayYear
Date
Required documentation: Verification from provider on letterhead or with name and contact information *

Cancelof
Required documentation: Copy of paycheck stub or employment verification letter *

Cancelof
Attach required letter on letterhead from psychologist, probation office or physician *

Cancelof
Attach required program description *

Cancelof
Attach supporting document(s) *

Cancelof

PROOF OF RESIDENCE is required for ALL applicants. Please attach one of the following: Utility bill, copy of lease/rental agreement, mortgage statement, property tax payment receipt, paycheck stub, voter registration, correspondence from a government agency or an affidavit of residency. This document must list your home address within the boundaries of MHUSD *

Cancelof

Parent/Guardian Statement

By signing this request, I understand the following conditions:
- Approval by both districts is required.
- The receiving district may investigate the student's attendance, behavior and academic records before acting on this request.
- If granted, this permit will be in force for up to one year and will remain in force only if the student meets the attendance, behavior and academic requirements of the receiving district. If the permit is granted, the parent/guardian will be responsible for the student's transportation to and from school.
- Parent/Guardian agrees to report a change of reason for transfer request.
- If specialized services are required, there must be an agreement associated with any additional costs between the district of residence and the receiving district.
- If the request is denied by the district, and all appeal rights have been exhausted in the district, I have the right to appeal the decision to the Santa Clara County Board of Education within 30 days of receipt of the official notice of denial.
I hereby certify the student, parent/guardian information provided above is accurate, and I understand and agree to the above stated conditions. Falsification of information invalidates this request. Failure to meet any timelines established by the district shall be deemed an abandonment of this request.
Signature of Parent/guardian*

Clear
Date*

MonthDayYear
Date
Additional information regarding the transfer request policy can be found in MHUSD Board Policy 5117 at gamutonline.net/district/morganhill
Should be Empty: