Request For Student Transfer Form - Austin Independent School District printable pdf download

AUSTIN INDEPENDENT SCHOOL DISTRICT

OFFICE OF STUDENT SERVICES

1111 West 6th Street • A-200 • Austin • TX • 78703-5338 • 512.414.1726

REQUEST FOR STUDENT TRANSFER

TAKE OR MAIL COMPLETED FORM TO THE ADDRESS SHOWN ABOVE

Student’s Name ________________________________________ _________________________ __________________________ Date of Birth _______________

LAST

FIRST

MIDDLE

MM/DD/YYYY



Year (transfer is to occur) _______________

Fall

Spring

Grade 15-16 _____ Grade 16-17 _____

AISD Student Number____________________

FROM

School

which transfer is requested ____________________________________ School

which transfer is requested________________________________



Is student currently attending

school?

Yes



Has the student ever had a transfer revoked to the school being requested?

Yes

RACE(S) (None of which is of Hispanic origin) - REQUIRED

GENDER

ETHNICITY - REQUIRED







American Indian/Alaskan Native

Asian

Black

Male

Hispanic/Latino







Native Hawaiian or Other Pacific Islander

White

Female

Not Hispanic/Latino



I am this student’s

parent

guardian

Parent/Guardian Name _________________________________________________________



If guardian, indicate whether you are

court appointed



RESIDENCE Address ______________________________________________ Apt. _________

AISD recognized

If AISD recognized, do you have a card on file?



City _____________________________________ TX, Zip ______________________________

Yes

___________________________________________________

MAILING Address _______________________________________________ Apt. _________



Are you a full time employee of AISD?

Yes

City _____________________________________ State __________ Zip _________________

If yes: Location _______________________

E number _______________________

TYPE OF TRANSFER REQUESTED:

NOTE:

For students who are not currently enrolled in AISD or who have an address that is different from that on file with

AISD attach a PICTURE ID (valid driver's license or other picture ID) and PROOF OF RESIDENCE. Proof of residence may be a

(See AISD policy for DATES AND DEADLINES and

recent (within 45 days) utility bill or mortgage payment; a current lease agreement; a tax receipt that indicates the

other information.)

property is a homestead. This document must include the name and address shown above. A birth certificate is required

 

for students who are new to Austin ISD.

Sibling*

*Name, date of birth and student number of

NOTE:

PARENTS AND STUDENTS ARE TO ASSUME RESPONSIBILITY

for satisfactory attendance, discipline, achievement of the

sibling who will be on a transfer at the

student, and cooperation with the school staff while at the transfer school. When these responsibilities are not met, the

requested school during the year this

transfer will be revoked. If revoked, the student may not at any later time request a transfer back to that school.

requested transfer will occur:

NOTE:

TRANSPORTATION

is not provided to students on transfer except for students attending the magnet programs at

Sibling’s Name ____________________________________

Fulmore, Kealing and LASA.

Sibling’s Date of Birth ______________________________

NOTE: Any student who plans to participate in

UNIVERSITY INTERSCHOLASTIC LEAGUE (UIL)

events should check the rules set

Sibling’s Student Number ___________________________

forth by the UIL concerning eligibility requirements for transfer students. A copy of the Constitution and Contest Rules of the

 

University Interscholastic League is available for review at the Athletic Office, 3200 Jones Road (78745), in the principal's

Tracking

office in each high school, on line at

or by contacting the UIL office at (512) 471-5883.

**School at which the student has a history

of at least two unbroken years of attendance

NOTE: Texas Penal Code, Section 37.10 regarding

TAMPERING WITH A GOVERNMENTAL RECORD

states that a person

in the two highest grades offered at the

commits an offense if he or she: (1) knowingly makes a false entry in, or false alteration of, a governmental record; (2) makes,

school:______________________________

presents, or uses any record, document or thing with knowledge of its falsity and with intent that it be taken as a genuine



governmental record; or (3) intentionally destroys, conceals, removes, or otherwise impairs the verity, legibility or availability

Majority-to-Minority

of a governmental record. An offense under this section is a Class C misdemeanor.



Curriculum (i.e., a program of study with a

continuous sequence of courses)

The Education Code, Section 25.001(h) regarding ADMISSION, further states that, in addition to the penalty provided by the



Penal Code, a person who knowingly falsifies information on a form required for enrollment of a student in a school district is

General

liable to the district if the student is not eligible for enrollment in the district but is enrolled on the basis of the false



Out of District:

information. The person is liable, for the period during which the ineligible student is enrolled, for the greater of: (1) the

School District_______________________

maximum tuition fee the district may charge under Section 25.038 of this code; or (2) the amount the district has budgeted

School______________________________

for each student as maintenance and operating expenses. A person found guilty of falsifying information on an enrollment

form may be liable for tuition in excess of $5,000.

The information provided on this form is current and accurate. I have read, and understand, the five NOTES provided in the section above and will comply in all ways with the

information provided.

Signature of parent/guardian making this request ___________________________________________________________ Date _____________________________

Parent/Guardian: Home Phone ____________________________ Work Phone ___________________________ Cell/Other Phone __________________________

Rev. 3/2016

Request For Student Transfer Form - Austin Independent School District

Related Articles

Related forms

Related Categories