Public School Choice Transfer Application
Pursuant to A.C.A. § 6-18-1901 et seq.
SECTION 1: STUDENT INFORMATION
Full Name
*
Date of Birth
*
-
Month
-
Day
Year
Date
Grade Level for Requested Year
*
Which School Year are you applying to attend?
*
2025 - 2026
2026 - 2027
25
26
27
School Year Beginning
*
School Year End
*
Current School Attending
*
Current District Resident District
*
Is the student currently under expulsion?
*
YES
NO
Is the student currently under consideration for expulsion?
*
YES
NO
Section 2: INTERDISTRICT TRANSFER REQUEST
School Requested
District of Requested School
SECTION 3: INTRADISTRICT TRANSFER REQUEST
School Requested
SECTION 4: FAMILY INFORMATION
Parent/Guardian Name(s)
*
Home Address
*
City
*
ZIP
*
Phone Number
*
Email
*
example@example.com
Does the student have a sibling currently attending the requested school?
*
YES
NO
Does the student have a parent or guardian who is a Uniformed service member in full-time active duty status
*
YES
NO
Does the student have a parent or guardian who is a Surviving spouse of a uniformed service member
*
YES
NO
Does the student have a parent or guardian who is a Reserve component uniformed service member duringthe period six months before six months after a Title 10or Title 32 of the United States Code or state active duty mobilization.
*
YES
NO
SECTION 5: ATTESTATIONS
I understand that transportation is not provided unless otherwise agreed upon.
I understand that my child must comply with the student code of conduct and attendance policies.
I understand this application does not guarantee approval and that I will be notified in writing.
I understand that if accepted, I will be given a deadline by which to enroll.
Signature of
Parent
Guardian
Student (if age 18+)
Signature
*
Date
*
/
Month
/
Day
Year
Date
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