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2018-2019 Elementary & Middle School Transfer Request Form
This form must be filled out in full to be considered. PLEASE NOTE: Any student on a transfer who is chronically absent may be returned to their neighborhood school. No transportation will be offered for students on a transfer.
Email address *
Child's Name *
Your answer
Birth Date *
MM
/
DD
/
YYYY
Address *
Your answer
Is this child in a Special Education or English Learner program? *
Your answer
Grade Level *
Current School *
Your answer
School of Choice *
Your answer
Please choose reason for the transfer that will be reviewed by PIC staff. *
Sibiling name and grade (for sibiling transfers)
Your answer
Use this area to type in any additional information for review (required) *
Your answer
Please type your name to show you understand that you will be responsible for transporting your child to and from the school. *
Your answer
Phone Number *
Your answer
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