APPLICATION FOR INTRA-DISTRICT TRANSFER

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Submit one form per child for whom you would like to attend a school other than that of your attendance area. For more information on the NPAS Attendance Boundary Policy #550, please visit https://www.npaschools.org/sites/default/files/550.pdf.

Email *

New Prague Area Schools: District Elementary Attendance Areas

I am requesting permission for the child listed below to attend a school other than the one in our attendance area in the New Prague Area School District.

Child's Last Name (Legal) *

Child's First Name (Legal) *

Child's Date of Birth *

YYYY

Current Home Street Address *

Current City *

Current State *

Current Zip Code *

Attendance Area School (the attendance area you reside in) *

School of Choice (the school you want your child to attend) *

Desired Start Date *

YYYY

Child's Grade Level at Effective Date *

Reason for request *

Does this child receive special services (IEP, 504)? *

Yes

Acknowledgement *

By checking this box, I understand that in order to change schools again another application must be submitted. I also understand that I am responsible for all transportation to and from school as district transportation does not cross attendance areas to transport students to the school of choice.

Required

Parent/Guardian First Name *

Parent/Guardian Last Name *

Parent/Guardian Phone *

A copy of your responses will be emailed to the address you provided.

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