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English - McAllen ISD

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Office Use Only<br />

Application/Request for Inter-District<br />

Transfer Of Non-Resident Student<br />

Time Rec’d:<br />

Date Rec’d:<br />

By:<br />

Date(s) of Parent Contact:<br />

School Year: 2013- 2014<br />

Student’s Name:<br />

Last First Middle<br />

Student’s Date of Birth: Student’s grade level (2013-2014):<br />

Student’s ID#: Student’s Gender: Male Female<br />

Name of home district/county-district number:<br />

Name of home school/campus number:<br />

<strong>McAllen</strong> <strong>ISD</strong> Campus Requested:<br />

Reason for transfer request:<br />

Printed parent or guardian name:<br />

Home address:<br />

Street Number and Name City Zip Code<br />

Mailing address (if different):<br />

Home phone: Father’s work: Mother’s Work:<br />

E-mail address:<br />

Cell Phone:<br />

Please check the appropriate statements, if applicable.<br />

My child was enrolled or attended a disciplinary alternative education program (DAEP) during the present or last school<br />

year.<br />

My child had attendance issues during the present or last school year.<br />

This application/request is made with the understanding and agreement that attendance at the school to which transfer is granted is<br />

conditioned upon (1) satisfactory attendance (absences/tardies); (2) satisfactory behavior (suspensions/DAEP placements); (3)<br />

parent(s)/guardian(s) or student agreement that no transportation will be provided by <strong>McAllen</strong> <strong>ISD</strong>, and parent(s)/guardian(s) or<br />

student shall provide transportation; (4) the additional rules, regulations, and conditions on the second page have been read,<br />

understood, and initialed; and (5) students may not be eligible for varsity U.I.L. competition for a minimum of one year to a<br />

maximum of four years.<br />

By entering your parent electronic signature and submitting this form you agree to the following statements:<br />

I certify that I am the parent/guardian of the child listed above and that all information is correct to the best of my knowledge.<br />

I have read, understand and agree to the student UIL eligibility and participation and transfer conditions.<br />

Parent Electronic Signature (Print full name on page 2 of this form).<br />

Please SAVE and EMAIL to DRodrigu@mcallenisd.net or PRINT and FAX to 956-971-4507<br />

You will be contacted by <strong>McAllen</strong> <strong>ISD</strong> Student Support Services Department for further instructions.


Application/Request for Inter-District Transfer of a Non-Resident Student<br />

Page 2<br />

Non-Resident students may be considered for enrollment in <strong>McAllen</strong> <strong>ISD</strong> schools tuition-free, provided that the following<br />

stipulations are met.<br />

1. Application for enrollment is subject to approval based on FDA (LOCAL) Policy and established administrative rules and<br />

guidelines set forth in FDA-R.<br />

2. <strong>McAllen</strong> <strong>ISD</strong> shall then assign the student to a designated campus based on FDA (LOCAL) Policy and established rules and<br />

guidelines set forth in FDA-R.<br />

3. Parent(s)/Guardian(s) provide a copy of their child’s attendance and disciplinary history report.<br />

4. Parent(s)/Guardian(s) and student(s) meet with the designated assigned campus Principal.<br />

The Superintendent or Superintendent’s designee has the authority to accept or reject any transfer request provided that such action is<br />

without regarding race, ethnicity, religion, sex, disability, or national origin.<br />

TO ACCESS THE DOCUMENTS REFERENCED<br />

Please initial by all applicable statements.<br />

BELOW, CLICK HERE.<br />

I understand that if an application for transfer is approved, the transfer is approved until my child completes the<br />

highest grade level at the requested/assigned campus; however, continued yearly approval is based upon criteria<br />

set forth in this document and those set forth in FDA Local Policy.<br />

I understand that transportation to and from the requested school is my responsibility.<br />

I understand that falsification of information is a Class A Misdemeanor as per Sec. 37.10, Penal<br />

Code and subject to fees rendered under T.E.C. Sec. 25.001 (h).<br />

I have received a copy of the UIL eligibility requirements for academic, music, and athletic<br />

competition. I understand that I have been referred to the <strong>McAllen</strong> <strong>ISD</strong> Athletic Director of<br />

Athletics for any UIL Athletic questions.<br />

I have received a copy of the Board policy, FDA (LOCAL) and administrative procedures<br />

regarding student transfers.<br />

I understand that this transfer, if approved, may be revoked if the student fails to abide by the<br />

conditions set forth in this agreement and that the Superintendent or designee may revoke the<br />

transfer at any time during the school year. The Superintendent or designee shall determine, in<br />

the Superintendent’s or designee’s sole discretion, whether such condition(s) are met and/or<br />

maintained.<br />

If approved for enrollment, I understand that I must contact the assigned school within 10 days of<br />

notification of approval in order to receive additional enrollment information.<br />

I have read, understand, and agree to be bound and comply with the information set forth in this Application/Request for<br />

Inter-District Transfer.<br />

District Use Only<br />

Parent/Guardian Signature Date<br />

Administrator<br />

Date<br />

Approved, Transfer approved for the 2013-2014 school year and is contingent on the aforementioned conditions<br />

Denied, Based on Board Policies<br />

If approved, campus assignment for the 2013- 2014 school year is<br />

□ ACD □ HB283 □ BLY □ EMP/C □ EMP/O □ GT □ GT/SB □ SPED □ SP/SB □ IB □ MVD □ SC □ SH □ SR □ OTHER<br />

Student Name/ID#: Entry Date: Withdrawal Date:

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