2021-2022 INTRADISTRICT TRANSFER

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(School to School within the AUHSD)

Email *

Student I.D. # *

Student's Last Name *

Student's First Name and Middle Initial *

Date of Birth *

YYYY

Age *

Address *

City *

State *

Zip Code *

Gender: *

Female

Male

Home Phone: *

Does Your Student Have an I.E.P.? *

Yes

Current Grade: *

Current School of attendance: *

Grade Next Year: *

Home School (School in your neighborhood): *

School of Choice (School you are requesting): *

Reason for request: *

Continuing Student

Sibling of Continuing Student

Work Related

Programs

New to AUHSD

Other:

Note: Placement of Special Education students is contingent upon IEP. Transfers will be revoked for cause (such as scholastic, disciplinary or attendance reasons). District transportation will NOT be furnished for any transfer unless otherwise indicated. Athletic eligibility is subject to CIF rules (contact a high school administrator). I have read the above information and agree to the stipulations.

Parent/Guardian Name: *

Today's Date: *

YYYY

Daytime Phone Number: *

A copy of your responses will be emailed to the address you provided.

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