NON RESIDENT STUDENT REQUEST TO TRANSFER INTO ERA ISD

Student Last Name *
Name as shown on birth certificate or birth record
Your answer
Student First Name *
Name as shown on birth certificate or birth record
Your answer
Grade *
For 2019-20 school year
Gender *
Birthdate *
Student's Birthdate
MM
/
DD
/
YYYY
Student Cell Phone Number: 6th-12th grade only
Type as shown: XXX-XXX-XXXX
Your answer
Father's Name/Guardian *
Your answer
Mother's Name/Guardian *
Your answer
Mailing Address *
Your answer
City *
Your answer
Zip Code *
Your answer
Guardian Phone Number *
Your answer
Parent Email Address *
Your answer
By selecting 'I Agree" below you are agreeing to the terms of this Transfer Agreement. *
District *
School District in which student resides
Your answer
Reason for transfer request *
Your answer
Is either parent employed by Era ISD *
Has the student ever been enrolled in Era ISD *
Siblings *
Does the student have any siblings currently attending Era ISD?
Student's attendance record:
Please provide the registrar with a copy of your student's most current report card.
Days Absent Last Year *
How many days was the student absent in the school year prior to the year for which a transfer is requested?
Your answer
Days Absent Current School Year
If requesting a transfer during a school year, how many days has the student missed in the current school year?
Your answer
Explanation
If the student missed more than ten percent of the days in the school year, please provide an explanation:
Your answer
Student's discipline record:
Please provide the registrar with a copy of your student's discipline record. This may be requested from your student's school.
Most Recent School Year *
Has the student been expelled or removed to a DAEP for one or more days in the most recent school year?
Prior School Year *
Has the student been expelled or removed to a DAEP for one or more days during the preceding school year?
Offense
If yes to either question, for what offense(s)?
Your answer
Parent Agreement *
As a parent or person standing in the position of legal responsibility for the child named in this request, I acknowledge that I have received a copy of Era ISD's policies FDA(LEGAL) and FDA(LOCAL) and the Transfer Agreement that must be executed before the child is enrolled in the District. The information provided in this form is true and factual to the best of my knowledge, and I understand that if any of this information is ever found to be incorrect, this application may be denied or revoked.
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