Manitoba Application Form Fortransfer To A School Of Choice - Out-Of-Division/district
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Application Form for
Transfer to a School of Choice
OUT-OF-DIVISION/DISTRICT
Complete, then print this form; four (4) identical pages will print.
Each page is to be signed and then submitted to the school of choice.
Complete Legal
Name of Student __________________________________
Date of Birth ________/________/________
Surname, Given Names (in full)
day
month
year
MET # __________________________________
Male
Female
(Manitoba Education No.)
Current Grade Level ____________________
Technology Ed.
French
NAME OF PROGRAM
English K-12 Français K-12
Other (please specify)
Immersion K-12
9-12
Program Currently Enrolled In
(Check One)
Program Applied
(Check One)
For information on courses and placement, please contact the school of choice.
School Currently Attended ____________________________
School Division/District ________________________
School of Choice _____________________________________
School Division/District ________________________
Name of School Division/District in which you currently reside ______________________________________________
School Year Being Applied for __________________________________________
Grade _______________________
Names of Parent(s)/Guardian(s) __________________________________________________________________________
Mailing Address ______________________________________________________
Postal Code ___________________
Home Address/Location: (select one)
Same As Mailing Address
Street Address: __________________________________________________________________________________
Legal Description of Property on Which Home is Located
(ex: section, township, range, lot, block, plan, etc.) ___________________________________________________
Telephone #(s) at Work __________________________________
at Home ____________________________________
Signature of Parent/Guardian/
Age of Majority Student __________________________________________________ Date ________________________
PARENT/GUARDIAN/AGE OF MAJORITY STUDENT: You must complete this form
and send to the principal of the school of choice no later than May 15 (one application form per student).
N.B.: This is an application form for school admission only. Questions concerning eligibility for transportation
should be directed to the receiving school division/district.
OFFICE USE ONLY (To be completed by the School of Choice)
Date Received______________________________
Accept
Yes __________
No ___________
Date Effective _____________________________
School to be Attended __________________________________
Grade Level _______________________________
School Division/District ________________________________________________________________________________
Name of School Principal ______________________________________________________________________________
Principal’s Signature _____________________________________
Date ________________________________________
RECEIVING SCHOOL : This form must be completed and copies distributed as indicated no later than June 30.
Ce formulaire existe également en français.
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Parent category: Education