Clinton City Schools Out-of-District Requests 2024-2025
This form is for students that do NOT physically live in the Clinton City Schools district, but are requesting to attend school in Clinton City Schools.  

Per Clinton City Schools Board Policy 4150,  before notice is given of assignment for the following school year, parents or guardians may request assignment to a school outside of their regular attendance area. Such a request must be submitted in writing to the Superintendent by June 1. The Superintendent shall consider and make a determination based upon the best interest of the child, the orderly and efficient administration of the public schools, the proper administration of the school to which assignment is requested, and the instruction, health, and safety of the pupils there enrolled. A decision will be made and the parent notified by June 30. If the parent is dissatisfied with the superintendent’s response, the parent may request the board to reassign the student.

NOTICE TO PARENTS:

1.  The Clinton City Board of Education recognizes the transferring of students could create enrollment overloads or other situations in the future.  If this does occur, the Board may disallow future transfers across attendance lines.  

2.  The school system is not obligated to provide transportation for transfer students.  
                                 
3.  Requests are valid only for the school year noted above.

4.  Any one of the following may cause this request to be denied:  enrollment overload, poor attendance or excessive tardiness, poor academic progress, or history of behavior problems.

5.  Transfer students must maintain satisfactory attendance, behavior, and grades as judged by the school principal.  Failure to maintain these expectations may result in the termination of the approved transfer and the immediate reassignment of the student.

6. When transferring from out of county, please contact the Board of Education in your county to receive a signed release from the Superintendent's office.  The release must be forwarded to the Superintendent's office prior to approval or denial.

**Please note, your request will NOT be processed by District Leadership until we have received an APPROVED district release from the district you physically live in.  
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Email *
Request Type *
STUDENT'S FIRST NAME *
STUDENT'S MIDDLE NAME
STUDENT'S LAST NAME *
STUDENT'S ID NUMBER (if known)
ETHNICITY *
WHAT SCHOOL WERE YOU ENROLLED IN 2023-2024? *
2023-2024 GRADE *
PARENT/GUARDIAN(S) FIRST NAME *
PARENT/GUARDIAN(S) LAST NAME *
MAILING ADDRESS *
CITY, STATE  ZIP CODE *
PARENT/GUARDIAN(S) CELL PHONE NUMBER *
PARENT/GUARDIAN(S) WORK PHONE NUMBER
RESIDENCE ADDRESS (IF DIFFERENT FROM MAILING ADDRESS)
GRADE (2024-2025 SCHOOL YEAR) *
SCHOOL DESIRED (2024-2025 SCHOOL YEAR)
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IN WHAT SCHOOL DISTRICT DO YOU RESIDE? *
IF YOU CHECKED OTHER IN THE ABOVE QUESTION, PLEASE STATE THE DISTRICT YOU RESIDE IN
WHAT IS YOUR REASON FOR THIS REQUEST? YOU MUST PROVIDE A SPECIFIC, DETAILED REASON(S) FOR THE REQUEST.   *
DOES THE STUDENT HAVE A CURRENT IEP FOR SPECIAL EDUCATION SERVICES? *
ACADEMICS:  DID THE STUDENT EARN ANY "F" OR "D" GRADES ON THEIR LAST REPORT CARD? *
IF YOU ANSWERED "YES" TO THE ABOVE QUESTION, PLEASE SHARE THE NAME OF THE COURSE(S) AND FINAL GRADE(S).
ATTENDANCE:  DID THE STUDENT MISS 10 DAYS OR MORE LAST SEMESTER? *
IF YOU ANSWERED "YES" TO THE ABOVE QUESTION, PLEASE SHARE HOW MANY ABSENCES THE STUDENT HAD AND THE MAIN REASON FOR THE ABSENCES.  
DISCIPLINE:  HAS THE STUDENT EVER BEEN SUSPENDED OR EXPELLED? *
IF YOU ANSWERED "YES" TO THE ABOVE QUESTION, PLEASE EXPLAIN THE SITUATION(S) AND THE PUNISHMENT(S) ASSIGNED.
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