Transfer Form- THIS IS NOT TO ENROLL IN GCS

Transfer Request Form

This is not to enroll a student. This is to request a transfer, 1. If you live out-side of Goshen schools district- THIS FORM PLUS A NEW/RETURN STUDENT ENROLLMENT IS NEEDED, or 2. If you live in one GCS school district and are requesting a different one.
Goshen Community Schools Request for Student Transfer

Student Transfer requests are granted for one school year. Parent(s) seeking transfer for a subsequent year must submit a new application each school year.
Date

MonthDayYear
Date
Student Name
DOB
Address

Home address

Street Address Line 2

CityState / Province

Zip
ParentGuardian Name
Phone
School district you live in
School student ishas most recently attended
Grade
GCS school student wishes to attend
Grade
Does your child receive any special services?

Special Education (IEP)High Ability504 PlanEL Services
If either parent is an employee of Goshen Community Schools please list the name and workplace:
Reason for requesting transfer:
Grounds for immediate denial of student transfer status [IC 20-26-11-32(j)]

In the past 12 months, has the student been suspended or expelled...

	Yes	No
For more than 10 school days (including in-school suspension)?
For possession of a firearm, deadly weapon, or destructive device?
For causing physical injury to a student, staff, or school visitor?
For violating a drug or alcohol rule?

	YES
I understand that a Transfer application must be approved yearly for my student to continue as a transfer student.
I understand that if approved, this transfer is conditional on my student maintain satisfactory attendance and behavior
I understand that if the information supplied on this application is found to be inaccurate, the transfer will be denied or revoked immediately

Transfer Request Form