Application For Student Transfer - Gwinnett County Public Schools

transfer types listed below that my student is NOT eligible for public school choice transfer under NCLB.

Under Board Procedure (JBCD) Student Transfers to another school will only be considered for approval under those

conditions listed on the reverse side I have read and understand the conditions and provisions on the reverse side of this form.

I understand this transfer request must be submitted yearly. I further understand that this transfer may be revoked by the receiving school

Principal at any time if the student does not stay in good standing in regards to academics, attendance, timely arrival to school, and/or

discipline, or if the parent has provided false information on this application.

Signature of Parent _______________________________________________________________________ Date: ___________________________

PARENT : PLEASE DO NOT WRITE BELOW THIS LINE SCHOOL USE ONLY - FOR DATA INPUT AND RECORDS - COMPLETED BY CURRENT SCHOOL Is the student in good standing in the following categories:

(If student is not in good standing in any of the areas, please attach reports to indicate areas of concern)