Request for Intra-District Student Transfer

REQUEST FOR INTRA-DISTRICT STUDENT TRANSFER

MAGNOLIA ISD

MUST BE RECEIVED 30 DAYS BEFORE THE BEGINNING OF SCHOOL

2017-18

Student Name(s) Middle Last Gr School Year Student ID

______-______

______-______

Please allow the above named student(s) to attend ______for the current school year.

(Name of School)

Street Address, City and Zip:Subdivision:

______

School attendance zone: ______School attended last year______

TRANSFER CONDITIONS Please check below if this is the reason for request.

____ Grandfathered due to elementary school boundary changes of 2010. No bus transportation will be provided.

____ Grandfathered due to high school student moving across district during sophomore year or later. No bus

Transportation will be provided.

____ Before/After school Child Care provider’s address is zoned to the requested Camp

____ Purchasing new home within the attendance zone of the requested Campus. (Builder’s or new home Contract

required)

____ Other ______

______

OTHER CONDITIONS FOR TRANSFER

If request is due to childcare, a separate Verification of Child Care Form must be completed. If you are moving, note your moving date.

Upon signing this request, parents understand and agree to the following:

1. Transfer request is for the current school year only. The request should be submitted to the Director of Student Services.
2. All attendance and discipline records accrued at the current school by the student will be transferred to the new school.
3. The receiving principal may recommend revocation of the transfer if problems arise directly related to the transfer student that is disruptive to the school’s program.
4. The receiving principal may recommend revocation of the transfer if problems arise with excessive absences or tardies.
5. If the student is involved in athletics or other UIL activities, a loss of eligibility might result from the transfer.
6. Parents must assume responsibility for transportation of all their children.

Method of transportation: (How student will get to and from school) ______

Telephone Numbers:______

(Home) (Work)

______

(Signature of Parent/Guardian) (Date)

MAGNOLIAINDEPENDENTSCHOOL DISTRICT

INTRA-DISTRICT TRANSFER

Verification of Child Care

I confirm that ______will be cared for during the

______school year in my home or child care facility. I will care for the child ______days per week.

The address of my home or child care facility is ______.

My home or child care facility is assigned to the ______

School attendance zone.

Name of the child care facility (if applicable):______.

Address CityZip

Subdivision

______

Phone number

Signature of homeowner or child care officialDate

______

Printed name of person whose signature is above

Revised 09/22/14