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IN-DISTRICT STUDENT TRANSFER REQUEST
STUDENT LAST NAME *
Your answer
STUDENT FIRST NAME *
Your answer
STUDENT MIDDLE NAME OR INITIAL *
Your answer
DATE OF BIRTH *
MM
/
DD
/
YYYY
SCHOOL YEAR FOR TRANSFER REQUEST: *
GRADE LEVEL FOR SCHOOL YEAR LISTED: *
RESIDENT SCHOOL (ESTABLISHED BY HOME ADDRESS) *
REQUESTED TRANSFER SCHOOL *
Required
RESIDENT ADDRESS *
Your answer
CITY *
Your answer
ZIP CODE *
Your answer
MAILING ADDRESS (IF DIFFERENT FROM RESIDENT ADDRESS)
Your answer
CITY
Your answer
ZIP CODE
Your answer
PHONE (INCLUDING AREA CODE) *
Your answer
SECOND PHONE (INCLUDING AREA CODE)
Your answer
EMAIL ADDRESS *
Your answer
SECOND EMAIL ADDRESS
Your answer
CONTINUING STUDENT (ALREADY ATTENDS THE SCHOOL) *
OTHER - EXPLANATION
Your answer
STUDENT SERVICES REQUIRED (IEP) *
OTHER - EXPLANATION
Your answer
In-District Student Transfers - Policy 3130, Procedure 3130p
In-District Student Transfer Policy 3130: http://sl.psd401.net/Policy3130

Procedure to Policy 3130: http://sl.psd401.net/Procedure3130p

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