Student Transfer Tr-11-2 Form
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1COMPLETING A TRANSER APPLICATION DOES
NOT GUARANTEE A CHANGE OF ASSIGNMENT.
ALL TRANSFERS ARE SUBJECT TO SCHOOL
St. Lucie Public Schools
AND SEAT AVAILABILITY. APPROVED
TRANSFERS MUST BE RENEWED YEARLY.
Student Transfer TR-11-2
School Board Employee Verification For Schools Within Two (2) Miles*
School board employees requesting this type of transfer must be the parent/legal guardian of the
child and must provide the appropriate documentation to verify their status.
(Note: This transfer request is not valid for other relatives of the employee).
Section A---To be completed by the parent/legal guardian.
Student Name____________________________________Grade_________________________
Address_________________________________________City________________Zip________
Home Phone_____________________________________Work Phone____________________
I certify that I am the parent/guardian of the above named child. I have provided the Student
Assignment Office with documentation to support parent/legal guardian status. I understand
that the transfer will not be processed without this documentation (copy of birth certificate or
guardianship papers or adoption papers). (I will provide transportation.)
Signature____________________________________________________Date______________
Section B---To be completed by the Principal of the school
Employee Name _______________________________________________________________
Employee Position_______________________________ School site______________________
Employee Status
Current
New
Working Hours__________________
Do you anticipate this employee returning to your school next year? Yes
No
__________________________________________
______________________________
Signature of Principal
Date
Section C---To be completed by the Principal of the receiving school
School Name _______________________________________________________________
Is there seat availability at the grade level for the student to enroll for this school year? Yes
No
__________________________________________
______________________________
Signature of Principal at Receiving School
Date
All persons are reminded that falsification of any portion of this application shall result in the denial or revocation of the transfer. In addition,
parent(s) or guardian(s) are informed that Florida Stature 837.06 states: “Whoever knowingly makes a false statement in writing with intent to
mislead a public servant in the performance of his official duty shall be guilty of a misdemeanor of the second degree, punishable as provided in
FL.775.082, FL.775.083, FL.775.04.
SAO0040 TR11-2 04/2013
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