EL DORADO UNION HIGH SCHOOL DISTRICT

Intradistrict Attendance Application

(Between Comprehensive Schools)

To be completed by students requesting a transfer from their school of residence

to another traditional high school within the El Dorado Union High School District.

PROCESS: 1. Complete the Application (PLEASE PRINT).

2. Submit all copies of application to the principal of the school of residence.

3. Application will be forwarded to the principal of the school you are requesting to attend.

4. Application will be forwarded to the El Dorado Union High School District, Asst. Superintendent of Student Services.

5. Approved/Denied application will be distributed to parents and schools.

STUDENT NAME / PRESENT GRADE / AGE / GENDER / DATE OF BIRTH
PARENT / GUARDIAN NAME(S) / PHONE
MAILING ADDRESS: STREET CITY ZIP
SCHOOL OF RESIDENCE
SCHOOL STUDENT IS REQUESTING TO ATTEND / FOR SCHOOL YEAR ENDING JUNE 20, ______*
REASON FOR REQUESTING THIS TRANSFER

P Transportation is not provided for students living outside the residence attendance area.

P All of our intradistrict attendance agreements are subject to revocation for unexcused absences and tardiness, “cutting” school, smoking, willful disobedience, destruction of school properties and violations of State School Laws and Codes as well as our own DistrictRules and regulations. Athletic eligibility is at risk when a transfer is granted; see CIF constitution and Bylaw Article2 or refer to the CIF website at http://www.cifsjs.org/constitution/bylaw2-eligibility.pdf.

P Special Education Students need to have an IEP that designates the requested school as an appropriate placement. Special Educationstaff from both schools need to have participated in the IEP.

Student has current IEP: YES NO Student has current 504: YES NO

Signature of Parent/Guardian ______Home Phone: ( ) ______

Address: ______Business Phone: ( ) ______

DO NOT WRITE BELOW THIS SPACE S FOR SCHOOL AND DISTRICT OFFICE USE ONLY
DATE / SCHOOL OF RESIDENCE / AUTHORIZED SIGNATURE / Approved
Denied
DATE / SCHOOL REQUESTED TO ATTEND / AUTHORIZED SIGNATURE / Approved
Denied
I have reviewed the above request and recommend that it be: / Granted Denied
Reason for denial:
Welfare/Attendance Officer Signature / Date

WhiteCDistrict YellowCSchool of Residence PinkCSchool of Attendance

F5116.2 1/86; Rev 4/15/15