Out of District Student Transfer Application
Sign in to Google to save your progress. Learn more
Email *
Child's name *
Street address, city, zip code. *
Child's age, date of birth, gender *
School district you live in *
Current school and principal contact information *
School you are requesting entrance:
Grade level for current academic year. *
Required
Parent or guardian information
First and last name(s)
*
Street address, city, zip code *
Phone number(s) *
Who is filling out this form? 
Please provide a contact phone number.
*
Student lives with: *

Per Indiana code 20-26-11-32, any application to transfer to the Corporation may be denied if the student has been suspended or expelled during the twelve (12) months preceding the student's request to transfer. (j) Notwithstanding subsections (f), (g), and (h), a governing body of a school corporation may deny a request for a student to transfer to the school corporation or may discontinue enrollment currently or in a subsequent school year, or establish terms or conditions for enrollment or for continued enrollment in a subsequent school year, if:

      (I) the student has been suspended (as defined in IC 20-33-8-7) or expelled (as defined in IC 20-33-8-3) during the twelve (12) months preceding the student's request to transfer under this section:

(A) for ten (10) or more school days;

(B) for a violation under IC 20-33-8-16.

(C) for causing physical injury to a student, a school employee, or a visitor to the school, or

(D) for a violation of a school corporation's drug or alcohol rules; or

    (2) the student has had a history of unexcused absences, and the governing body of the school corporation believes that,  based upon the location of the student's residence, attendance would be a problem for the student if the student is enrolled with the school corporation. 

*
My child is currently expelled 
or under consideration for expulsion
*
My child has been suspended from school
during the previous 12 months:
*
My child is in good standing in the areas of academics, attendance and behavior: *
If you answered no to the good standing question, please explain the reasons below: *
Why are you requesting this non-resident transfer? *
Does your child have an IEP (Individual Education Plan)?
Clear selection
Submitting this form constitutes that all the information provided above is true and affirms my understanding that upon approval of my transfer request, the district will not provide transportation to and from school for my child and the purpose of this transfer request is not for athletic purposes. I understand that, if approved, this transfer is conditional based on my child maintaining a satisfactory level of performance in the areas of academics, attendance, and behavior. *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Whitko Community Schools.

Does this form look suspicious? Report