IN-DISTRICT TRANSFER REQUEST
Form for requesting your child attend another RSU 19 school

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Email *
Student's Name *
Student's Grade *
Does your child require Special Services? *
Required
What school do you prefer your child attend? *
Required
Reason for the Request *
Parent/Guardian Name *
Physical Address  *
Mailing Address (IF different from Physical Address)
Phone Number
Date of Request *
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Regional School Unit #19.

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