Student Transfer Application

Parent/Guardian Information

*Current Fulltime CCISD Employee?
Yes No

*Parent/Guardian Last Name:
*Parent/Guardian First Name:
Parent/Guardian Middle Name:
Home Phone:
Work Phone:
Cell Phone:

Student Information

*Current CCISD Student?
Yes No

*Student Last Name:
*Student First Name:
Student Middle Name:
*Current Address:
*ZIP Code:
UIL or Extra Activities invloved in:
Band/Fine Arts
Academic competitions
Other :
Special Services Being Provided:
Special Education
Other :

Transfer Information
*Transfer Type?
*Transfer Type of District?
 Inter-District - (Transfer from outside the District)
 Intra-District - (Transfer within the District)
*Applying for School Year:
*Applying for Grade Level:
*Transfer To:
*Reason for Requesting Transfer:
Characters remaining:

Student Transfer Application Submission
If approved, I understand that the transfer is granted conditionally based on the following criteria: program availability, student behavior, grades, and attendance, including tardies. The transfer may be revoked based on CCISD Board Policy FDA/FDB(LOCAL). It is effective for one school year only. I understand that transportation to the requested school is my responsibility. I understand that falsification of information is a Class A misdemeanor and can lead to legal action. I have read and understand the District policy on out of district transfers. I agree to abide by all rules and regulations set forth in this policy. I understand that as a transfer student, school placement may be changed to accommodate resident students. I have been informed that, in some cases, previously approved transfers may be revoked due to space limitations.
*I Accept the Disclaimer
*Parent/Guardian Signature:
*Request Date: