Application for Transfer for Nonresident Students

APPLICATION FOR TRANSFER for Nonresident Students
- Applications are accepted between January 1 and June 15.
- Parents/Guardians will be contacted in July regarding the status of this Application.
- You will have 24 hours to acknowledge receipt of acceptance and student placement in USD 345 or the enrollment may be denied.
- Returning and new nonresident students must be students in good standing, per Board of Education Policy JBCC
Today's Date:

MesDíaAño
2 digit month, 2 digit day, 4 digit year
Student's Name:

First NameMiddle InitialLast Name
Student's date of birth

MesDíaAño
2 digit month, 2 digit day, 4 digit year
School Currently Attending:
Grade level for year requesting:
Parent/Guardian Name:

First NameLast Name
Day Phone #:
Format: (000) 000-0000.
Residence Address:

Address

Dirección de la calle Línea 2

CityEstado / Provincia

State / Zip
Parent/Guardian Email:
email@email.com
Good Standing
Fill in the blanks below for each request and include documentation from the current school.
1. Number of days absent from school in current school year: Excused
Excused
Unexcused
Unexcused
2. Number of days suspended from school in current school year: In School Suspension
In School Suspension
Out of School Suspension
Out of School Suspension
3. Is the student currently suspended or expelled from their last school of attendance?
Initial to indicate the student applicant would qualify as a student in good standing per policy JBCC.
Upload the student's year end academic, attendance and behavior record. If you do not have documents ready at this time, please email those to cclark@usd345.com.
File Upload

Cancelof
For students in grades K-6th, please list in order the school(s) you are willing to attend. (Elmont, Logan, North Fairview, Northern Hills, West Indianola):
For students entering grades 7-12: Parents, are you willing to have your student participate in the USD 345 random drug testing program?
Are you also applying for siblings? (Each child must have their own application submitted.) If yes, please list their names:
Parent/Guardian Signature

APPLICATION FOR TRANSFER for Nonresident Students

Good Standing