2014 - 2015 STUDENT SCHOOL CHOICE OPTION TRANSFER REQUEST FORM

For additional information please contact: Carolyn Bostick at (843) 322-5428 or Anjanette Capers at (843) 322-5429. Mail To: Beaufort County School District, Carolyn Bostick, PO Drawer 309, Beaufort, SC 29901

Please print using ink and fill out completely. (Faxed and scanned forms will NOT be accepted) DEADLINE FOR REQUEST: May 1, 2014 Students Name (Last, First, MI) Name of Students Residence Zoned School Name of School Being Requested

Does your child plan to participate in Beaufort County School District Middle or High School Sports? Current Grade Level Special Education Yes No Category__________________ (Print) Parents Name: Physical Address: City: State: Zip: Mailing Address: City: State: Signature of Student & Date Zip: Next Year Grade Level (2014-2015) Gender Male Female Date of Birth Race/Ethnicity

504 Plan Yes No

Parent/Guardian Home Phone _________________________________ Work Phone _________________________________ Cell Phone _________________________________

Signature of Parent/Guardian & Date

IMPORTANT INFORMATION: Each year applications for transfer will be subject to Board of Education Policy. Transfer requests are granted based on criteria and space availability; therefore, parents should carefully consider the potential effect on the family if their children attend schools in more than one attendance area. Approval of the transfer request for a student does not guarantee that approval will be granted for his/her sibling neither for the same academic year nor for future academic years. Transfers will not be allowed for a student to participate in extra-curricular programs, sports or activities. Upon Principals request, records of excessive absences, tardiness, discipline problems, or academics may be grounds for nonapproval, non- renewal, or immediate termination of the transfer. Parents must provide transportation to and from school (some exclusions may apply), when applicable. Please select one (1) option in box A or B. Must maintain full participation in the choice program approved through completion of the year approved. A. GENERAL TRANSFER OPTIONS B. PROGRAMMATIC TRANSFER OPTIONS Majority to Minority Senior Status/Complete 5th/ 8th Grade Completion of one full marking period McKinney Vento Act Health Hardship (Must have medical physicians letter attached) Employee Courtesy ___________________ (Indicate School) Beaufort County School District Employees (School of employment or school in route from home to place of employment) BCHS (Tri-Academy) BES ( AMES or Montessori) BMS (Arts Infused) HHHS (IB Program) HHIBE (PYP) HHMS (MYP ) HHSCA (Arts Infused) LIES (Arts Infused) LIMS (STEM) PVES (AMES) RSS (Chinese) SHES (KIT-ELL) WBECHS (Early College) WBMS (STEM)
Deadline Not Met Date No Transfer Option Available

SCHOOL DISTRICT OFFICE OFFICIAL USE ONLY

Request Approved Request Denied Signature of Student Services Officer No Space Available