MSD OF MARTINSVILLE SCHOOLS - Use this form to request to attend a different elementary school than the one you should attend within our district.
Application for Elementary School Transfers Within the District
*A separate application is required for each child.
*Space will be allocated on a first-come basis up to class size limits as determined by Central Office Staff.
*Parents will be notified at least 2 weeks prior to the first day of school if their request is honored.
*Transportation to and from school must be provided by the parent/guardian.
*A new application must be submitted for each school year
Email address *
Student's Last Name *
Your answer
Student's First Name *
Your answer
Student's Date of Birth *
Student's Age *
Your answer
Grade student will be in for transfer year *
Elementary school student should attend (if unknown, please call Transportation 765-342-5597 to find out): *
Elementary school desired: *
Parent/Legal Guardian First Name *
Your answer
Parent/Legal Guardian Last Name *
Your answer
Parent/Legal Guardian Phone Number *
Your answer
Parent's email address (If different than email address listed above)
Your answer
Street *
Your answer
City *
Your answer
State *
Your answer
ZIP Code *
Your answer
County *
Your answer
Parent Signature (By typing your name, you are effectively providing your signature, indicating that all the information on this form is true and accurate, to the best of your knowledge.) *
Your answer
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