20-21 Out-of-District Elementary Transfer Request
Current transfer students DO NOT need to complete this request.
Email address *
Student's First Name *
Your answer
Student's Last Name *
Your answer
Student Number (if applicable)
Your answer
Birthdate *
MM
/
DD
/
YYYY
Gender *
Student's grade for 2020-2021 *
Name of School and District currently attending (ABC Elementary, USD123) *
Your answer
SMSD school request to be transferred to *
Does the student applying for transfer have a sibling currently enrolled in this school as an Out-of-District transfer student, who is considered a "Student in Good Standing"? *
Please list sibling(s) name and current school of attendance.
Your answer
If the student is a current SMSD student moving out of the district, has the student attended four consecutive semesters?
SMSD School Currently Attending (skip if you answered NA to the last question)
Name of Parent/Legal Guardian *
Your answer
Is the parent/legal guardian an employee of Shawnee Mission School District? *
Required
Telephone *
No spaces, include area code 9995554242
Your answer
Street Address *
Include street address, city, state, zip code
Your answer
Have the parents/legal guardian signed a contract to buy, build, lease or rent a dwelling in the SMSD to be occupied by them sometime during the first semster? *
Approximate date expected to move into Shawnee Mission School District.
MM
/
DD
/
YYYY
Enter anticipated new address
Your answer
By initialing this form, I understand my student must be a student in good standing to be considered for a transfer and remain a student in good standing to maintain the transfer. 1) the student must be in good standing academically at the school he/she currently attends; "Good standing", academically, is defined as maintaing no less than a "C" in every course on every quarterly grade report. Academic standing must be verified by official school documents. 2) the student must be a citizen in good standing at the school he/she currently attends; a citizen in "good standing" is defined as having no suspensions or explusions during the student's school career; no office referrals during the previous two school years in the Shawnee Mission School District. The student must submit as part of his/her initial non-resident/transfer application, official school documents verifying he/she is a citizen in "good standing" 3) the student must demostrate regular attendance habits; regular attendance habits is defined as no more than ten (10) days of absences during the previous school year (tardies to school or class may accumulate as absences); student attendance must be verified by official school attendance records. *
Enter your intials below.
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Shawnee Mission Public Schools USD512. Report Abuse