MCCSC School Transfer Request Form

Student Name*

First NameLast Name

Student DOB*

Date

Parent Name*

First NameLast Name

Parent E-mail Address (Please Type Twice to Validate)*

Confirmation Emailexample@example.com

Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Home Phone Number*

Please enter a valid phone number.

Work Number (optional)

Please enter a valid phone number.

Note - Any school district with an asterisk in front (*) in the choices below represents a school that is outside of MCCSC district boundaries.

If you do not see your school in the options below, please select "OTHER" and subsequently indicate your student's home school in the prompt that follows.

Student's Home School*

Please select the school where student would attend based on their primary home address. The home school and the desired school should not be the same.

Student's Home School - Other

Principal e-mail address (Home School)

This is the e-mail address from the Student's Home School as selected above

Admin Assistant e-mail address (Home School)

This is the e-mail address from the Student's Home School as selected above

Admin Assistant e-mail address (Home School)2

This is the e-mail address from the Student's Home School as selected above

Student Grade at Transfer*

This represents the grade for the requested transfer year.

Student's Desired School*

Which school should we contact to obtain your student's most recent school records?*

Principal e-mail address (Desired School)

This is the e-mail address from the Student's Desired School as selected above

Admin Assistant e-mail address (Desired School)

This is the e-mail address from the Student's Home School as selected above

Admin Assistant e-mail address (Desired School)2

This is the e-mail address from the Student's Home School as selected above

Type of Transfer Request:*

Initial RequestRenewal Request

Requested School Year:*

2024-20252025-2026

For this transfer request to be considered, the party initiating the transfer must present detailed reasons for the transfer request in the space below:*

Violation of any of these requirements as noted below may result in the revocation of this transfer agreement. In that event, the student must re-enroll in his/her home school or make other valid educational arrangements within three school days.

The Board of School Trustees has established attendance areas for schools based on geographical boundaries. Each student is expected to attend the school that serves the area of his/her home address. In accordance with MCCSC Policy 5120, an inter- school transfer may occur within the MCCSC when the following conditions are agreed upon by the parent/guardian of the student, the principals of both the sending and receiving schools, and the Superintendent:

1 - In order to maintain desired class sizes, the receiving principal will confirm that there is space available at the receiving school in the desired grade level; and

2 - It is the responsibility of the parent/guardian to make all arrangements for transportation to and from school; and

3 - The student will arrive at and depart from school in a timely fashion. When school commences, thestudent should be in his/her seat ready to start class work. The student should depart promptly from school at dismissal time (or be enrolled in a bona fide after-school activity which will provide
appropriate supervision for the student); and

4 - The student will comply with the receiving school's rules and regulations regarding attendance, behavior, and curricular expectations ; and

5 - Parents of the student will consult with the sending secondary principal regarding IHSAA eligibility; no transfers will be approved for athletic reasons; and

6 - This transfer is effective for one school year unless revocation occurs; once the transfer is granted, the parent or guardian may ask for a renewal which will be granted if both principals agree.

7 - Transfer students generally will not be counted by the receiving school in determining staffing needs, unless, in the opinion of the Superintendent, good cause exists for deviating from this guideline.

8 - Transfers which cause the receiving school or class to go over capacity or which cause the sending school or class to fall unreasonably below capacity will not be approved.

Signature of the Parent/Guardian below indicates agreement to all terms and conditions listed in this transfer.

Parent Signature*