In-District Transfer Request
Please use this form to request a school-to-school transfer within the Bethel School District in Eugene Oregon.

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Email *
Which year are you requesting a transfer for?/¿Para qué año solicita una transferencia? *
Did you recently move out of your school's boundary and would like to attend the same school next year? 
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Student's Grade for the year you want the transfer/ Grado del estudiante para el año que desea la transferencia *
Student's First Name/Nombre del estudiante *
Student's Last Name/Apellido del estudiante *
Student's Date of Birth/Fecha de nacimiento del estudiante *
MM
/
DD
/
YYYY
Last school attended in Bethel -or- Neighborhood school if they have not yet attended a Bethel School/Última escuela a la que asistió en Bethel -o- escuela del vecindario si aún no han asistido a una escuela de Bethel *
School Requested - 1st Choice/Escuela solicitada - 1ª opción *
School Requested - 2nd Choice (optional Do not enter the same school more than once)/Escuela solicitada - 2ª opción (opcional)
School Requested - 3rd Choice (optional) Do not enter the same school more than once/Escuela solicitada - 3ª opción (opcional)
Student's Home Address including City and State/Domicilio del estudiante, incluyendo ciudad y estado *
Parent/Guardian Name(s)/Nombre(s) de los padres/tutores *
Parent/Guardian Phone Number(s)/Número(s) de teléfono de los padres/tutores *
Parent/Guardian Email(s)/Correo electrónico de los padres/tutores
How will transportation be provided?/¿Cómo se proporcionará el transporte? *
Reason for request/Motivo de la solicitud *
Does your student have a sibling in attendance at the school you're requesting?
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If yes, name of sibling and school attending/En caso afirmativo, nombre del hermano y de la escuela donde asiste
By signing below, I acknowledge that Bethel School District does not provide transportation for transfer students. I understand the transfer may be revoked if the student violates school and/or district rules and regulations, has irregular attendance or chronic tardiness, fails to meet behavior expectations, or if the information on this form is falsified. I acknowledge my child is not guaranteed a seat at their preferred Bethel school. (Type your name in the field below to sign this document)/Al firmar a continuación, reconozco que el Distrito Escolar de Bethel no proporciona transporte para los estudiantes transferidos. Entiendo que la transferencia puede ser revocada si el estudiante viola las reglas y regulaciones de la escuela y/o del distrito, tiene asistencia irregular o tardanza crónica, no cumple con las expectativas de comportamiento o si la información en este formulario es falsificada. Reconozco que a mi hijo no se le garantiza un asiento en su escuela Bethel preferida. (Pon su nombre en el espacio a continuación para firmar este documento) *
A copy of your responses will be emailed to the address you provided.
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