Transfer Out Of District Request

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(Leaving Woodbury City Public Schools)

If you are moving out the Woodbury District, you need to withdrawal your student from Woodbury City Public Schools. This information is needed to prepare the transfer card, which your new school, if within New Jersey, will require to register.

If you are relocating outside of New Jersey or the United States, it is still required that you fill out this form for our records. It will also assist us in preparing a record requests.

To expedite the process, please ensure all WCPS equipment has been returned to your child's school directly. Records cannot be sent to the new school until all WCPS equipment, books and fines have been taken care of.

Transfer cards must be signed and completed in person as a state ID is required to complete the transfer.

**Please complete separate forms for siblings**

Parent/Guardian's Legal Name *

Parent/Guardian's Email Address *

Phone number *

Student's Legal First Name *

Student's Legal Last Name *

Student's Date of Birth *

YYYY

Student ID number (can be found in PowerSchool)

Complete Current Address (including City and Zip Code) *

Current School *

Current grade (if request during summer months-please list grade student will be entering in September)

Does your child have a current IEP or currently receive Special Education Services? *

Yes

Last day of School Attendance *

YYYY

Forwarding Address (including city and zip code) *

Name of New-Forwarding School/District and address *

Reason Student is Leaving Woodbury City Public Schools *

Transferring to any public school in NJ

Transferring to another public school outside of NJ

Transferring to home/parent instruction

Transferring to charter school

Transferring to a renaissance School

Transferring to choice school

Transferring to a non public school in NJ

Transferring to alternative adult education for high school

Transferring to non-enrollment (Drop out)

School Counselor *

Ms. Velazquez

Mr. Smith

Ms. McLister

Mr. Jarrett

Other:

I agree to return all Woodbury City Public Schools property to my child's school counselor on his/her last day of school. (Chromebooks, Library books, text books, hot spots, athletic uniforms, musical instruments) *

I agree

I hereby authorize the release of my child's school records (or my records if over the age of 18) to the district listed above: *

Yes

I acknowledge that as the Parent/Guardian, I must make an appointment to meet with a counselor to sign the appropriate paperwork to complete the transfer, and I must bring a copy of my state issued ID *

Yes

Submit

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