JEFFCO PUBLIC SCHOOLS
|
Student's ID#:
(to be filled in by school) |
|
| A separate application must be completed for each child in the family who seeks a transfer.Refer to Policy JFBA/Regulation as well as information/instruction sheet. This form must be submitted to the requested school along with the Administrative Transfer Procedures and Checklist for Principals. You may type the form online. Click the print button and print the form for distribution | ||
| Student's Name: Last |
First |
Middle |
| Birth Date: |
Parent or Guardian: |
|
| Street address: |
City: |
State: Zip: |
| Home phone: |
Day time phone:
|
|
| Current School: | Requested School: |
Grade in current year |
| Is student enrolled in a Special
Education Program? Yes No |
If yes, which program? |
|
| Briefly state your reasons
for requesting this transfer: |
||
|
Principal's Signature |
Date |
|
| Distribute copies to: 1. Sending school principal 2. Receiving school principal 3. Community Supt. |