GIPS Middle School Special Transfer Request

Please complete this form if you are currently enrolled OR in the attendance area for one of the middle schools, but would like to attend a different middle School. e.g. I am enrolled at Barr, but would like to attend Walnut.

Email address *
Student's Name *
Your answer
Grade *
Please show grade level for when they will attend. e.g. You have a 5th grader who you are trying to transfer for next year. Choose 6th.
Desired Start Date *
e.g. Next Fall, Next Trimester, Next Week
Your answer
Parent's / Guardian's Name *
Your answer
Address *
Your answer
Phone number *
e.g. (308) 555-5555
Your answer
I would like to transfer my child to... *
Neighborhood School *
Check the school that you currently attend or would attend based on your home address.
Duration of Request *
Reason for Requested Transfer *
e.g. Family member attends, grandma is in proximity, legacy school, etc.
Your answer
I agree that I am the parent listed/typed above as well as the guardian of the student listed on this form. Please consider my typed name below my electronic signature agreeing to such. *
Your answer
A copy of your responses will be emailed to the address you provided.
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