Within District Transfer Request

Request to transfer your student to a different school within Peninsula School District.

OFFICE OF THE CHIEF OF SCHOOLS

School Year

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Student Last Name

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Student First Name

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Student Date of Birth

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Student Grade (transfer year)

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Type of Transfer

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Student Residence Address, City, Zip

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Currently Attending School

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Requested PSD School

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Parent/Guardian Full Name

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Parent/Guardian Email

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Parent/Guardian Phone

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Receiving Special Education Services?

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If yes, describe Special Education services

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Reason for Transfer Request

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Parents must provide transportation to school or the nearest bus stop for students who voluntarily attend a school outside their attendance area. Students transferring for athletic reasons may face WIAA transfer rule restrictions.

I acknowledge the above

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Within District Transfer Request

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