2026-2027 Application for Out of District Transfer

Application for Out of District Transfer
Student's Full Name*

First Middle Last
Birth Date*

MonthDayYear
Date
Student Gender*

FemaleMaleNon-Binary (identifies as neither male or female or both)
Student ID Number*
5 digit number used as their DCPS email. If student is new to the DCPS district, please enter 00000.
What grade will your child be in for the 2026-2027 school year?*

K123456789101112
Parent's/Guardian's Name*

First NameLast Name
Parent Email
example@example.com
Phone Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Name of home school (the school your child would attend based on your current address)*

Choptank ElementaryMaple ElementarySandy Hill ElementaryHurlock ElementaryVienna ElementaryWarwick ElementarySouth Dorchester SchoolMace's Lane Middle SchoolNorth Dorchester Middle SchoolCambridge South Dorchester High SchoolNorth Dorchester High SchoolOther
Is your child currently attending an out of district school and you wish for them to continue attending that school?*

YesNo
You are requesting that your child Transfer to:*

Choptank ElementaryMaple ElementarySandy Hill ElementaryHurlock ElementaryVienna ElementaryWarwick ElementarySouth Dorchester SchoolMace's Lane Middle SchoolNorth Dorchester Middle SchoolCambridge South Dorchester High SchoolNorth Dorchester High School
You are requesting that your child continue to attend:*

Choptank ElementaryMaple ElementarySandy Hill ElementaryHurlock ElementaryVienna ElementaryWarwick ElementarySouth Dorchester SchoolMace's Lane Middle SchoolNorth Dorchester Middle SchoolCambridge South Dorchester High SchoolNorth Dorchester High School
Reason Out of District Transfer is Requested:*

Day care (Elementary and Middle School only)Educational course or offering not available at assigned school (course or offering)- High School OnlyPresence of physical or emotional condition resulting in medical recommendation for transfer-must have accompanying letter from physician, psychologist, or psychiatrist.Student has completed all but last year at same elementary, middle, secondary school (entire duration)Athletic participationEmployee — refer to DCPS policy 440.07.
Name of Day care provider:*
Day care provider's address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Day care provider's Phone Number*
Day care provider's Email*
example@example.com
Sport(s) they wish to play:*
Employee's assigned school building:*

Choptank ElementaryMaple ElementarySandy Hill ElementaryHurlock ElementaryVienna ElementaryWarwick ElementarySouth Dorchester SchoolMace's Lane Middle SchoolNorth Dorchester Middle SchoolCambridge South Dorchester High SchoolNorth Dorchester High SchoolDorchester County Technology CenterCentral Office
Conditions of Approval
Transportation: Be advised that, according to Board of Education policy, NO out of district bus transportation will be available.

This Out of District Transfer must be applied for each year and is subject to:
- Student enrollment for that grade
- Verification of information on this form and agency form
- The Board of Education changing school boundaries
- The Board of Education or Superintendent changing procedures
- Receipt of application within the required period (April 30th)
*For students who reside out of county, payment of the DCPS projected tuition is due prior to the start of the school year. Out of district approval can be rescinded at any time if the conditions are not adhered to.
- The student maintaining satisfactory school attendance, including tardy to school/class
- The student maintaining satisfactory behavior
- Any changes in student circumstances relevant to the reason(s) for the transfer (address,
  Childcare, employment, etc.
Decisions regarding Out of District will be sent to families by June 1st and all appeals must be submitted in writing by June 15th.

OUT OF DISTRICT REVOCATION

A student’s out-of-district status can be revoked if any of the following occur:
1. Two or more suspensions or ISS
2. Ten or more unlawful absences
3. Five or more unlawful - student is put on probation
4. Ten or more tardies to school
5. Apply for sport team and do not participate or try out for team, then not eligible the next school year.
6. Once the warning letters has been sent and if there is not any improvement, a letter informing the OOD have been revoked will be sent by the Supervisor of Student Services. The student will start at their catchment school at the natural break.
7. Reportable Offense: if a student receives a reportable offense, then their out of district enrollment will be revoked
If one of your children has their out of district revoked, all of your children will be sent back to the home school.
I acknowledge that I have read, understood, and agree to the terms and conditions outlined in this form.
I acknowledge that if my request for out of district is due to a physical or emotional condition I will be required to submit an accompanying letter from a physician, psychologist or psychiatrist PRIOR to approval. (letters can be sent to studentservices@dcpsmd.org)
I hereby declare and affirm under penalties of perjury that the information provided above is true and correct to the best of my information, knowledge, and belief. I understand and agree that if false information is provided, the transfer will be denied or revoked.
Signature*

Clear
Should be Empty:

Application for Out of District Transfer

Conditions of Approval

OUT OF DISTRICT REVOCATION