Choice Transfer Request - Camas School District Page 2
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2NOTICES
The transfer request is not complete until the resident school district has submitted the request to the nonresident school
district, and it has been accepted. The student remains the responsibility of the resident school district until the effective start
date at the nonresident school.
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 and steps to appeal the decision.
If a district does not respond to a request within 45 days of the request, the request is treated as a denial and the
parent/guardian can appeal.
Under the Choice law, the nonresident school district becomes 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.). Legal Reference: RCW 28A.225.220 through 230.
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 transfer may occur in accordance to the conditions listed
in the nonresident school district’s policy.
I understand that my student must continue to attend the resident school until the effective start date of the transfer and that
nonattendance is subject to truancy procedures.
I understand that I will be responsible for providing transportation to and from school for my student, unless the nonresident
district is required to provide transportation for the student with 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 my student move and no longer be a resident of the district, the transfer expires 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 my signature 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.
This request to attend nonresident school district shall be dependent upon criteria for acceptance of nonresident district
students established by the nonresident school district. In addition, the nonresident district reserves the right to revoke this
transfer at any time throughout the school year if:
Student does not follow the rules and regulations applicable to all students attending in the nonresident district,
It becomes necessary to change the education program/setting/placement of the student, and there is no room in the
program to which the student would need to change,
Information provided by the applicant has been misrepresented,
Parent’s full‐time certificated or classified employment with the district ends, or
Nonresident student’s placement displaces a resident student or if space in the grade level classes or programs becomes
unavailable.
When any of the above reasons occur, the transfer approval becomes null and void. Any further consideration for readmission
must be based on completion of a new application.
Student Name (printed)
____________________
Signature of parent/guardian (Student may sign if 18 years or older at the time of this request)
Date Signed
___________________________________________________
________________________________
Resident District Release
Date
3/2016
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