Secondary Open Enrollment/Transfer Application

Out-of-District Application

In-District Transfer Application

Immediate Transfer

Transfer For Next Trimester

Transfer For Next School Year

Daterequired

Must contain a date in M/D/YYYY format

Current Graderequired

Total Credits Earned

Student's Legal Namerequired

Date of Birthrequired

Must contain a date in M/D/YYYY format

Parent/Guardian's Namerequired

Relationship to Student

Parent/Guardian's Addressrequired

Street Address

City, State

Zip Code

Cell Phone#required

Home Phone#

Work Phone#

Email Addressrequired

Student resides in which school boundary?required

School Presently Attendingrequired

I hereby request that my learner be permitted to attendrequired

School Yearrequired

Number of Previous Transfersrequired

Is the student enrolled in Special Services? (If yes, Special Education Directors approval required)required

Yes

Has the student ever been suspended or expelled from school?required

Yes

Describe the circumstances (including dates and duration).required

Reason(s) for requesting transfer to this schoolrequired

A transfer to another district school is a privilege we agree to extend to your student under the following conditions:

1. Parent accepts full responsibility for transporting students to and from school each day.

2. Regular attendance is required. No more than 6 absences per class may occur within a trimester without documented extenuating circumstances.

3. School rules and procedures are followed with no major discipline violations.

4. Grades must be maintained at a "C" level or higher. No credits should be lost.

5. Parent contact information is kept updated.

****** If approved, this transfer may impact the student's athletic eligibility. ******

Any student in grades 9-12 who transfers schools, without a bona fide move into the transfer school's boundaries, shall be ineligible to participate in any interscholastic high school athletics/activities for a period of 365 days beginning on the first day of enrollment in the transfer school. Participation includes but is not limited to practice, traveling with a team, uniform issue or participation in an athletic contest. (Policy 8111).

Parent/Guardian and Student Signaturerequired

I accept the above conditions and understand the receiving school and District #25 maintain the right to review and rescind the transfer if any of the conditions are not consistently met.

If this transfer is rescinded, the student will be required to attend the "home school" as defined by the District boundaries.

Secondary Transfer Form

Secondary Open Enrollment/Transfer Application