Student Transfer Verification Form
Part I: Demographics
First and Last Name of Student:
First and Last Name of Parent/Guardian:
Name of current Saddle Brook School:
Saddle Brook High School: CDC Code 050
Saddle Brook Middle School: CDC Code 050
Franklin Elementary School: CDC Code 080
Helen I. Smith School: CDC Code 085
Long Memorial School: CDC Code 090
Washington School: CDC Code 100
Date of Transfer:
Phone Number of Parent/Guardian:
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This form was created inside of Saddle Brook School District.