Student Transfer Form (In-District) -Shawnee Mission Public Schools
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2JBCB-E
STUDENT TRANSFER FORM (IN-DISTRICT)
SHAWNEE MISSION PUBLIC SCHOOLS
7235 Antioch
Shawnee Mission, Kansas 66204
Please Print
Legal Name of Student ___________________________________________Student # ______________
Birth Date _______________ M ___ F ___ Transfer requested for grade _____ School year _________
Student currently attends ________________________________________________________ School
Request to be transferred:
From
School
To
School
Reason for Request ___________________________________________________________________
____________________________________________________________________________________
Name of Parent/Legal Guardian ____________________________________ Telephone ____________
Address __________________________________ City _________________, KS
Zip __________
Email Address _________________________________________________
Is the above student subject to an Individual Education Plan (IEP) or a 504 plan?
Y
N
Transportation Waiver:
Parents/guardians understand that if this transfer request is approved, the student’s right to district
provided transportation service, otherwise required by federal law or board policy, is waived. Bus
service will not be provided.
Students must:
Maintain satisfactory grades (secondary students a minimum 2.0 grade point average).
Maintain a minimum of a 95% attendance record.
Maintain an acceptable discipline record:
o No excessive number of discipline referrals.
o No in-school or out-of-school suspensions.
Interscholastic Eligibility Guidelines:
Any student who transfers to a school outside the student’s attendance area or residence shall be subject
to all eligibility rules of the Kansas State High School Activities Association and such eligibility rules as
may be adopted by the board of education.
PLEASE READ ALL CONDITIONS UNDER WHICH THIS TRANSFER IS MADE (Reverse side)
PRIOR TO SIGNING. THE SIGNATURE INDICATES THAT THE SIGNEE AGREES TO ALL
TERMS OF THE TRANSFER REQUEST.
Transfer students are subject to annual reviews dependent upon
space availability at the building. Due to unexpected changes in enrollment, any transfer granted may be
rescinded.
Date
Signature of Parent/Guardian ____________________________________________
Please return this form to the student’s current Shawnee Mission school
or to the school you are requesting to transfer to.
Date ____________ Superintendent/Associate Superintendent ________________________________________
Transfer Request Approved
Transfer Request Denied
Adopted 11-24-14
Rev.11-17-14
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