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Choice Transfer Request

This form is intended for use to request enrollment in the Crescent School District by someone who resides in a different district.  Please complete the form below. Required fields marked with an asterisk *

Requested School*
Answer Required

STUDENT INFORMATION

Grade Level at time of request*
Answer Required

Residence Address

State*
Answer Required

Mailing Address (if different than Residence Address)

State
Answer Required
REASON FOR REQUEST*
Answer Required

BEHAVIOR

Answer Required
Yes
No
Does the student have a record of conviction of crimes, violent or disruptive behavior or gang membership?
Has this student been expelled or suspended for more than 10 consecutive days?
Has the student repeatedly failed to comply with requirements for participation in an online school program, such as participating in weekly direct contact with the teacher or monthly progress evaluations?
Has the student and/or parent had any formal meetings with school officials regarding school attendance issues in the past two years?
Is this student under a court order to attend school or is a truancy petition in the process of being filed?
Is the student currently enrolled in, ever qualified for, or applying for enrollment in any of the programs listed below? *
Answer Required

NOTICES

  • The request is not complete until the resident school district andthe nonresident school districthave come to agreement.
  • The parent/guardian will be notified by email (or postal mail if an email is not provided) of acceptance and the effective start date or rejection.
  • If the request is rejected, the notification will include the reason for the denial.
  • The resident school district remains responsible for all matters related to the education of the student (basic education, special education, home/hospital services, truancy, CEDARS reporting, administration of state educational assessments, etc.) unless otherwise stated in the agreement.

ACKNOWLEDGEMENTS

  • I certify that the information provided is accurate and complete.
  • I understand that approval of this request shall be dependent upon the acceptance and rejection standards stated in the nonresident school district’s policy, and rescindment (revoking) of this releasemay occur in accordance to the conditions listed in the nonresident school district’s policy.
  • I understand that my student must continue to attend their current school scheduleuntil the effective start date of the agreementor be subject to nonattendanceprocedures.
  • I understand thatI will be responsible for providing transportation to and from school for my student,unless the nonresident districtis required to provide transportation for the studentwith a disability under Section 504 of the Rehabilitation Act of 1973 or the Individuals with Disabilities Education Act (IDEA).I understand that requests are approved for one school year only, and it is my responsibility to complete a new form each year.
  • I understand that should mystudent move and no longer be a resident of the district, theagreementexpires and I must submit a new request to the new resident school district.
  • FERPA Release: I authorize the resident school district to release any and all of my student’s educational records to the Choice Coordinator of the nonresident school district.
  • By accepting this agreement below, I acknowledge that although I am not required to release my student’s records,I am giving my consent to release the information. This release will remain in effect while my student is enrolled unless I revoke such consent in writing. Note: Information will be provided in written format; no information will be released over the phone.
By accepting below, I understand the Notices and agree to the Acknowledgement statements above..*
Answer Required
Confirmation Email