2017-2018 OUTSIDE-DISTRICT STUDENT TRANSFER REQUEST
PARENT/GUARDIAN FULL NAME: *
Your answer
Street *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Home Phone
Your answer
Cell Phone
Your answer
Email
Your answer
Corporation of legal residence
Your answer
Please list the names of any children you would like to enroll in JGSC as a transfer student.
If you're applying for more than four students, please submit an additional form.
STUDENT #1:
S1- Student name *
Your answer
S1- Is this student currently attending JGSC? *
S1- Student Grade in the 2016-2017 school year *
S1- School Requested *
S1- Date of Birth
MM
/
DD
/
YYYY
S1- Does the student have an IEP?
S1- Does the student have a 504?
S1- Is the student an ELL student?
S1- What school did the student most recently attend?
Your answer
If any of the information provided on this form is found not to be accurate, acceptance of this application may be voided at the option of the John Glenn School Corporation. The requested information is used only to support the application process. All information will remain confidential.
You will be required to reapply for consideration to attend the JGSC, which is not guaranteed, prior to the start of each school year. This
approval is only for the current year.
S1- Pursuant to State law, a student's application to transfer to the Corporation may be denied if the student has been suspended for ten (10) or more school days, or suspended or expelled for possession of a firearm, deadly weapon, or a destructive device, causing physical injury to a person, or a violation of the Corporation's drug or alcohol rules during the twelve (12) months preceding the student's request to transfer. Do any of these situations apply to your student?
S1- If you answered Yes above, please explain
Your answer
Thank you for applying to JGSC. Your application will be reviewed and you may be contacted to set up a meeting with the principal.
Do you want to add another student to this application?
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