Out-of-District (Choice) Transfer Form 3141F

  • Annual Request for Release and Application for Nonresident Admission

    Form 3141F

  • All request for out-of-district transfers must be coordinated with both the resident district and the nonresident district in which the student seeks admission. All nonresident admission requests need to be first approved by the resident superintendent.

    All requests for out-of-district transfers must be coordinated with both the resident district and the nonresident district in which the student seeks admission. All nonresident admission requests need to be first approved by the resident superintendent.

  • Date*
     / /
  • Is this a new request or are you renewing an existing choice transfer?

  • Pullman Public School Procedures: In accordance with Policy 3141, the superintendent, prior to the start of the school year, shall provide all applicants with written notification of the approval or denial of the application for non-resident admission.


    NOTE: Non-resident admission applications received after Jun 30th will not be considered until after the first day of school.

  • Section I: Student Information

  • Birth Date*
     / /
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Enrollment Information

  • Academic School Year for which transfer is requested:
    *-   *   

  • Expected Start Date
     - -
  • Are you...

  • School to which student is requesting to be transferred into:

  • 1st Choice
  • 2nd Choice

  • Transferring OUT of the Pullman School District

  • Is there another child in the family for whom transfer is being requested? If yes, please fill out this form for each child.
  • Has your student ever been enrolled in a special program?
  • If yes, please specify
  • Reason for Request*
  • Does the student have a record of conviction of crimes, violent or disruptive behavior, or gang membership?*
  • Has this student been expelled or suspended for more than 10 consecutive days?*
  • Has the student repeatedly failed to comply with requirements for participation in an online school program, such as participating in weekly direct contact with the teacher or monthly progress evaluations?*
  • Has the student and/or parent had any formal meetings with school officials regarding school attendance issues in the past two years?*
  • Is this student under a court order to attend school or is a truancy petition in the process of being filed?*

  • Section II: Notices & Acknowledgements

  • Notices

    • The transfer request is not complete until the resident school district has submitted the request to the nonresident school district, and it has been accepted. The student remains the responsibility of the resident school district until the effective start date at the nonresident school.
    • The parent/guardian will be notified by email (or postal mail if an email is not provided) of acceptance and the effective start date or rejection.
    • If the request is rejected, the notification will include the reason for the denial and steps to appeal the decision.
    • Under the Choice Law, the nonresident school district becomes responsible for all matters related to the education of the student (basic education, special education, home/hospital services, truancy, CEDARS reporting, administration of state educational assessments, etc.) for the duration of the approved transfer period. Legal Reference: RCW 28A.225.220 through 230.
  • Acknowledgements (please check each one)

  • Section III: Choice Student Contract

    To be completed by students and families choicing into the Pullman School District

  • I understand my choice status is ONLY for the current school year that I am applying for. My acceptance will end on the last day of the current school year and I must renew my application each school year.

    I understand that I am responsible for my attendance, behavior, and academic progress in school. I will work with the staff to ensure that I am working to the best of my ability and challenging myself academically and as a person. I will accept the consequences of my mistakes and learn from them.

    I will be a positive addition to the district and use my time here to help prepare myself for college and career readiness after graduation.

    My presence and the relationships I build will positively contribute to the overall school culture.

    I understand that I am a choice student in the district and that my acceptance as a choice student may be revoked based on one of the following circumstances:

    • My continued acceptance would result in the district experiencing significant financial hardship
    • My continued acceptance would cause my grade level or class to exceed capacity
    • The appropriate education programs or services are no longer available
    • I engage in violent or disruptive behavior that violates district policy and procedure
    • I am expelled or suspended for more than ten consecutive days
    • My acceptance would conflict with an innovation academy cooperative under RCW 28A.340.080
    • I repeatedly fail to comply with requirements for participation in an online school program, such as failing to participate in weekly direct contact with the teacher or monthly progress evaluation.

     

  • The Family Educational Rights and Privacy Act (FERPA) is a Federal law that protects the privacy of student education records. The law applies to all schools that receive funds under an applicable program of the U.S. Department of Education.

    FERPA gives parents certain rights with respect to their children’s education records. These rights transfer to the students when he or she reaches the age of 18 or attends a school beyond the high school level. Students to whom the rights have transferred are “eligible students”.

    Parents or eligible students have the right to inspect and review the student’s educational records maintained by the school. Schools are not required to provide copies of records unless, for reasons such as great distance, it is impossible for parents or eligible students to review the records. Schools may charge a fee for copies.

  • Date*
     - -
  •  
  • Should be Empty: