Adopted: November 1987
Revised: October 2024
Download 502.4P - Intradistrict Student Transfer Application
DOWNLOAD ABOVE FORM
If you are the parent or guardian of a child (or an adult student age 18 or older), who lives in Independent School District 196, and if you would like that child to attend a school other than the child's attendance area school, complete the application form below and return it by the appropriate deadline to: Student Information Supervisor, Independent School District 196, 3455 153rd St. West, Rosemount, MN 55068.
Grade Level Reason for Transfer Deadline
K-5 Intent to establish residency Any time (but not before four years of age)
K-5 Parent/guardian request December 15 (but not before four years of age)
6-8 Intent to establish residency Any time (but not before 5th grade)
6-8 Parent/guardian request December 15(but not before 5th grade)
9-12 Intent to establish residency Any time (but not before 8th grade)
9-12 Parent/guardian/ December 15(but not before 8th grade)
adult student request
9-12 11th or 12 grade student to Any time (but not before 11th grade)
remain at current school
K-12 Attendance area adjustment December 15
You will receive an official notice from the Student Information Department regarding the status of your application after the review process is complete. Applications received after the specified deadline will be considered on a case-by-case basis.
Transportation will not be provided for intradistrict transfer students except as noted in section 3.6 of Policy 502, Student Transfers.
Please print. Complete a separate form for each student.
Student's name Grade level next school year ID number
Parent or guardian name (last, first, middle)
Parent or guardian address (street, city, zip code)
Parent or guardian telephone number(s) with area code (home) (work) (cell/pager)
School of residence School requested for next school year
Requested date for transfer to begin: (NOTE: Except for transfers based on intent to establish residency, the ending date of the transfer will be no later than the end of an elementary student’s 5th grade year, a middle school student's 8th grade year or a high school student's 12th grade year. For transfers based on intent to establish residency, the ending date will be the end of the school year.)
Reason for Request:
___Intent to establish residency (please specify new address if not listed
above, and attach a copy of the purchase or lease agreement, or other
legal document that shows intent to change residence):
___Parent/guardian/adult student request
___11th or 12th grade student to remain at current school (please specify):
___Attendance area adjustment options as authorized by the School Board
The above information is true and correct to the best of my belief and knowledge.
Parent, guardian or adult student signature Date
(NOTE: Notification of final approval will come only from
the District 196 Student Information Department.)
DISTRICT USE ONLY
Date application received
Transfer based on intent to establish residency, 11th or 12th grade student to remain at current school, parent/guardian/adult student request or attendance area adjustment:
_____Approved _____Denied
The student will be enrolled in:
School Grade level Beginning (date)
Signature of student information supervisor Date
Distribution:
|
Parent, guardian or adult student |
Principal of school of residence |
|
Student's cumulative folder |
Principal of requested school |