Smithfield Elementary School: Transfer Request between Full Remote Academy and In-Person Rotation
Families who are experiencing a significant hardship may request a transfer between the district’s current attendance plan and the Full Remote Academy prior to the end of the semester. To be eligible for a plan change, families must meet at least one of the criteria listed below.

Request Process:

1. Complete this form in its entirety.
2. All requests will be reviewed by Allison Plunkett and Jill Trotter.
3. Marlene Henderson, Registrar, or Elizabeth Alibudbud, Financial Secretary, will follow up within 5 business days.
Email Address *
Phone Number
Student #1 LAST Name *
Student #1 FIRST Name *
Student #1 Grade Level *
Student #1 Teacher *
Student #2 LAST Name
Student#2 FIRST Name
Student #2 Grade Level
Student #2 Teacher
Student #3 LAST Name
Student #3 FIRST Name
Student #3 Grade Level
Student #3 Teacher
I am requesting the following (choose 1): *
Required
Share your reason for this request. Note that changes can only be made if reason falls under one of these hardships: *
Required
Week you are requesting change to BEGIN: *
MM
/
DD
/
YYYY
Additional information that may help with this decision:
Submit
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