Application for Elementary In-District Transfer

APPLICATION FOR ELEMENTARY IN-DISTRICT TRANSFER
Applications are accepted between January 1 and April 30.

Consideration criteria include: the student’s grades, attendance, conduct and class size at the requested school. Students cannot have outstanding school fees or food service balances. Applications may be approved to the extent that staff, facilities, equipment and supplies are available. These criteria will be reviewed annually. If a student is no longer deemed to be in good standing at the transfer school, a student may be denied continued attendance at the transfer school. The student would then be required to attend their resident home school.

For NEW USD 345 students, a copy of the student’s most recent report card and attendance record must be attached to this application.
Does this student have an IEP? If yes, a copy (new students only) must be. attached to this application.
Today's Date:

MesDíaAño
2 digit month, 2 digit day, 4 digit year
Application for School Year:
Enter the school year requesting
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
For students in grades K-6th, please list your first and second choice in that order. (Elmont, Logan, North Fairview, Northern Hills, West Indianola):
Please state the specific reason for your request:
Parent/Guardian Signature
Should be Empty:

APPLICATION FOR ELEMENTARY IN-DISTRICT TRANSFER