Fillable Student Transfer Request Form Austin Independent School District (Austin Independent School District)

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Student Transfer Request Form Austin Independent School District (Austin Independent School District)

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The Student Transfer Request Form Austin Independent School District (Austin Independent School District) form is 2 pages long and contains:

  • 3 signatures
  • 28 check-boxes
  • 80 other fields

Country of origin: US
File type: PDF

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Student Transfer Request Form
Austin Independent School District Office of Student Services
Year for transfer ___________ Fall Spring AISD Student Number____________________
Student’s Name______________________________ ____________________ ____________________ Date of Birth ___________
LAST FIRST MIDDLE M/DD/YYYY
PK4 PKTuition K 1 2 3 4 5 6 7 8 9 10 11 12
PK4 PKTuition K 1 2 3 4 5 6 7 8 9 10 11 12
School TO which transfer is requested_____________________________ (Is student currently enrolled at this campus? Yes No)
School FROM which transfer is requested (AISD school assigned by address) ____________________________________________
Parent/Guardian Name_____________________________________________
RESIDENCE Address _______________________________ Apt. _______
City ____________________________ TX, Zip ______________________
Email __________________________________________
MAILING Address __________________________________ Apt. _______
City ____________________________ TX, Zip ______________________
I am this student’s parent guardian
If guardian, indicate whether you are
court appointed
AISD recognized
Are you a full-time employee of AISD? Yes No If yes: Location _____________________ E number _________________
Type of Transfer:
(Sibling, Tracking, and Majority-to-Minority transfers are not available to frozen campuses and
may only be requested for non-frozen campuses until February 19, 2021 for the 2021-2022 school year).
Sibling. Please provide the name, date of birth, and student ID number of the sibling who will be on a transfer at the requested
school for the 2021-2022 school year: Name________________________Date of Birth________________ID ______________
Tracking. School at which the student has a history of at least two unbroken years of enrollment in the two highest grades offered
at that school: __________________________________.
Majority-to-Minority
General
Curriculum. Please provide information about the program of study at the requested school _______________________________
________________________________________________________________________________________________________
Out of District. Home school district:______________________________Home school:__________________________________
Required attachments:
Driver’s license or other valid picture ID
Proof of residence – This may be a recent (within 45 days) utility bill or mortgage payment; a current lease agreement; a tax
receipt that indicates the property is a homestead). This document must include the name and address shown above.
Birth certificate – if student is new to Austin ISD.
ETHNICITY - REQUIRED
Hispanic/Latino
Not Hispanic/Latino
RACE(S) (None of which is of Hispanic origin) - REQUIRED
American Indian/Alaskan Native Asian Black
Native Hawaiian or Other Pacific Islander White
GENDER
Male
Female
4000 S. IH-35 Frontage Road • Room 151 • Austin • TX • 78704 • 512-414-1726 • Fax 512-414-4994
If AISD recognized, do you have a card on file?
Yes No
Has this student participated in athletics in
grades
8-12?
Yes No
This transfer is contingent upon continued employment with AISD.
20-21 Grade (circle one): PK3
21-22 Grade (circle one): PK3
Please initial each:
_____ Parents and students are to assume responsibility for satisfactory attendance, discipline, achievement of the student, and
cooperation with the school staff while at the transfer school. When these responsibilities are not met, the transfer will be
revoked. If revoked, the student may not at any later time request a transfer back to that school.
_____ Transportation is not provided to students on transfer except for students attending the magnet programs at Lively, Kealing
and LASA, or Ann Richards School for Young Women Leaders and the Gus Garcia Young Mens Leadership Academy (for
students who live within AISD boundaries).
_____ Any student who plans to participate in University Interscholastic League (UIL) events should check the rules set 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 office in
each high school, online at www.uil.texas.edu or by contacting the UIL office at (512) 471-5883.
_____ Texas Penal Code, Section 37.10 regarding tampering with a governmental record states that a person commits an offense if he
or she: (1) knowingly makes a false entry in, or false alteration of, a governmental record; (2) makes, 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 of a governmental record. An
offense under this section is a Class C misdemeanor.
_____ 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 liable to
the district if the student is not eligible for enrollment in the district but is enrolled on the basis of the false information. The
person is liable, for the period during which the ineligible student is enrolled, for the greater of: (1) the maximum tuition fee the
district may charge under Section 25.038 of this code; or (2) the amount the district has budgeted 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.
Signature of parent/guardian making this request _______________________________________ Date _____________________
Parent/Guardian: Home Phone _______________________ Cell/Other Phone _________________________
Action by the Office of Student Services:
Approved
Denied
Action by the Associate Superintendent: Action by the Superintendent:
Date: _______________
Approved
Denied
Comments:
Signature:_____________________________________
Date: _______________
Approved
Denied
Comments:
Signature:_____________________________________
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Student Transfer Request Form Austin Independent School District (Austin Independent School District)

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Completed 13 March 2021

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