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2023-24 Student Transfer Request Form
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* Indicates required question
Parent's Last Name
*
Your answer
Parent's First Name
*
Your answer
PO Box Number (if applicable)
Your answer
Street or Road Number & Name
*
Your answer
City
*
Your answer
Zip
*
Your answer
Home Phone Number
Your answer
Cell Phone Number
*
Your answer
Email address
*
Your answer
Check the appropriate box that applied:
*
Out-of-District Transfer Request (check if you live outside of USD 252)
In-District Transfer Request (check her if you live within USD 252)
Required
Name of your current assigned school district:
*
Your answer
USD #
*
Your answer
Current school building phone #
*
Your answer
Name of Principal
*
Your answer
Check the school you wish to attend in USD 252:
*
Neosho Rapids EC-5
Hartford 6-12
Olpe EC-12
Student's Last Name
*
Your answer
Student's First Name
*
Your answer
Grade Student Will Enter
EC
K
1
2
3
4
5
6
7
8
9
10
11
12
Did the student meet or exceed standards in the most recent Math State Assessment Test?
*
Yes
No
Not Applicable
Did the student meet or exceed standards in the most recent Reading State Assessment Test?
*
Yes
No
Not Applicable
Is the student currently under suspension
*
Yes
No
Has the students ever been suspended from school (ISS or OSS)?
*
Yes
No
If you answered yes to the previous question, please list each suspension by date and why the student was suspended.
Your answer
Reason for transfer request:
*
Your answer
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