Application to Attend Clear Creek ISD

Transfer Information
*Transfer Type?
 New
 Renewal

*Applying for School Year:

*Which of the following categories describes your application?
 Intra-District - (Transfer within the District)
 Non-Resident CCISD Employee - (Parent is employed by Clear Creek ISD but does not live within District)
 Intra-District - (Transfer within the District)
 Non-Resident CCISD Employee - (Parent is employed by Clear Creek ISD but does not live within District)

*Applying for Grade Level:
*Transfer To:
*Transfer To (Option #2):
*Transfer To (Option #3):
*Reason for Requesting Transfer:
Characters remaining:

Please attach the following documents for application review.
Important: These documents are required for review and consideration of your application.
To create a new attachment, Choose File button first and select the file to attach - (Maximum allowed attachment size is 4MB).

  1. Proof of Residency 1 (Mortgage or Lease)
  2. Proof of Residency 2 (Utility bill which can include natural gas, water or electric)
  3. Parent’s Government Issued Photo I.D.
  4. Student’s Birth Certificate or Other Acceptable Proof of Identity
  5. Grandparent’s Government Issued Photo I.D.



Please attach proof of residency (Mortgage or Lease AND a utility bill which can include natural gas, water or electric.)
Important: Proof of residency documentation is required for review and consideration of your application.
To create a new attachment, Choose File button first and select the file to attach - (Maximum allowed attachment size is 4MB).

* I declare I work on Federal property within CCISD boundaries and live within 10 miles of the school district. I understand that falsifying this information subjects my application to attend CCISD to being denied. (i.e. NASA Johnson Space Center, Ellington Joint Reserve Base, U.S. Postal Office League City, etc.)

*Company Name:

Full Mailing Address of Federal Property
*Federal Property Name (i.e. NASA Johnson Space Center, Ellington Joint Reserve Base, U.S. Postal Office League City, etc.):
*Address:
*City:
*State:
*ZIP Code:

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:
*Email:

Grandparent Information

*Current Fulltime CCISD Employee?
Yes No

*Employee ID
*Grandparent Last Name:
*Grandparent First Name:
Grandparent Middle Name:
Home Phone:
Work Phone:
Cell Phone:
*Email:
*Address:
*City:
*State:
*ZIP Code:

Student Information

*Current CCISD Student?
Yes No

*Student Last Name:
*Student First Name:
Student Middle Name:
*DOB (MM/DD/YYYY):
*Current Address:
*City:
*State:
*ZIP Code:
UIL or Extra Activities invloved in:
Athletics
Band/Fine Arts
Academic competitions
Other :
Special Services Being Provided:
Special Education
504
ESL
Bilingual
GT
Other :

Student Transfer Application Submission
Disclaimer:
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
I Accept the Disclaimer and Have Paid the $100 Application Fee
*Parent/Guardian Signature:
*Resident Grandparent Signature:
*Request Date: