Transfer Request Form - Aiken County Public School District
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1AIKEN COUNTY PUBLIC SCHOOLS – TRANSFER REQUEST
Date____________________
Transfer Request for 20 ____ -20____ School Year
_________________________ to _________________________
1. Transfer requested from
(Zoned School)
(Requested School)
2. Student’s Name _________________________________________
Grade _________
(For Term Requested)
Are you requesting the transfer of additional children within your family in addition to this request?
Yes
No
(Complete a separate form for each child.)
3. Parent/Guardian Name/Address: ______________________________________________
________________________________________________________________________
Street Address (required)
City
State
ZIP
Daytime Phone
_______________________________________________________________________________________________
Mailing Address, if different from above.
4. Is your transfer request due to child-care needs?
Yes
No
Childcare Provider’s Name/Address:
___________________________________________________
________________________________________________________________________________________________
Street Address
City
State
ZIP
Daytime Phone
5. Is your transfer request due to medical needs?
Yes
No
If yes, please provide a statement from your child’s doctor indicating need for transfer.
6. Is your transfer request based on your status as a school district employee?
Yes
No
If yes, please indicate your position and place of employment:
___________________________________________________________________________________
7. If reason for transfer request is not child-care, medical, or school district-employee reasons, please
provide additional information on the back of this form.
8. Is this student currently attending the requested school?
Yes
No
9. Are there additional children in your household currently approved to attend the requested
school? Yes
No
If yes, Name(s) and Grade___________________________________________
Parent/Guardian Signature___________________________________________Date_____________
Mail completed form to: Transfers, School District of Aiken County, 1000 Brookhaven Dr., Aiken, SC 29803
or fax to: 803-641-2636.
Or drop off at the district office at the address listed above.
Parents do not need to request transfers each year; transfers are approved through the terminal grade of the approved
th
th
school, i.e. through the 5
for elementary, through the 8
for middle, and through graduation for high school transfers.
May 15 is the deadline to submit transfer requests for the fall, except in cases of severe hardship. Due to federal
guidelines or space limitations, it may be necessary to rescind previously approved transfers. Transferred students
must provide their own transportation, arrive at school on time, be picked up promptly afterwards, be in regular
attendance, and follow the Student Code of Conduct. Do not use this form to request East Aiken School of the Arts.
*************************
Action Taken : District Use Only ************************************
Request to attend __________________________________
Approved_________
Denied__________
Academic Officer Signature:_________________________________________
Date _____________
Revised 4/6/15
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