Poway Unified School District Intradistrict Transfer Application 2016-2017 School Year (Beginning August, 16, 2016)

Student's Last Name

As it appears on the birth certificate

This is a required question

Student's First Name

As is appears on the birth certificate

This is a required question

Student's Middle Name

This is a required question

PUSD Permanent Student Identificaton #

If student does not have a PUSD ID#, leave blank.

This is a required question

Home Address

Student/family must live within the PUSD district boundaries to be eligible for an Intradistrict Transfer

This is a required question

City

This is a required question

Zip Code

This is a required question

Telephone #

(xxx) xxx-xxxx

This is a required question

Email Address

This is a required question

Student's Current Grade Level

This is a required question

Student's Grade Level in the Fall

This is a required question

Special Programs or Services Your Child Receives

This is a required question

School of Residence

If you are unsure as to your School of Residence go to www.powayusd.com and click on the Address Lookup tab.

This is a required question

School in Which Student is Currently Enrolled

This is a required question

If the student is not enrolled in any PUSD school, name the school and school district the student is currently enrolled.

This is a required question

School Requested

This is a required question

Alternate School Choice

This is a required question

Reason for Request

This is a required question

Are you currently employed by PUSD?

This is a required question

If you are currently employed by PUSD, which site?

This is a required question

Does your child have a sibling that will be attending at the school of desired attendance for the 2016-17 school year?

This is a required question

Name of sibling.

This is a required question

Parent/Guardian Signature

Type full name to acknowledge you have read and understand the terms and conditions of your requested student transfer.

This is a required question

Terms and Conditions of Student Transfer/Parent Signature

1. Intradistrict transfers are only valid while the conditions stated in the request are maintained. 2. Intradistrict transfers may be revoked if the student does not maintain satisfactory attendance, citizenship, or scholarship. 3. Transportation of the student to and from school is the responsibility of the parent or guardian. 4. The student will be ineligible for varsity athletics for one calendar year from the date of enrollment at the high school of desired attendance. Ineligibility exemptions include incoming 9th grade students, 9th grade siblings of students concurrently enrolled at the high school, students of any grade level whose parents relocate during the year, and 9th grade students granted a transfer to an "optional enrollment school" declared by the District, 10th, 11th, and 12th grade students granted a transfer to an "optional enrollment school" declared by the District. 5. If a student is granted a request to voluntarily return to his/her school of residence, the student will be ineligible at the school of residence for varsity athletics for one calendar year form the date of re-entering his/her school of residence. 6. If an Intradistrict Transfer is approved, the student may remain at the school until completion, but must re-apply for a new transfer for the next school level (middle or high). 7. Approved requests remain in effect for a minimum of one school year unless revoked by the school or district office. 8. I understand that I am obligated to immediatley notify my student's school of any address change.

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