USD 495 Out of District Transfer Request Form
If you are requesting out of district transfer for more than one student, a separate form must be completed for each student.
Date of Request *
MM
/
DD
/
YYYY
Parent/Guardian Name(s) *
Your answer
Current Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip/Postal Code *
Your answer
Phone Number *
Your answer
Current District of Residence *
Your answer
Student First Name *
Your answer
Student Last Name *
Your answer
Student Date of Birth *
MM
/
DD
/
YYYY
Current or New Student? *
School Attended Last Year *
Your answer
School Requesting to Attend *
Your answer
Grade Level *
Your answer
Explanation for Transfer Request *
Your answer
Signature to Certify Information is Accurate *
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Ft. Larned USD 495. Report Abuse - Terms of Service - Additional Terms