Fillable Printable Initial Student Transfer Application - Fairfax

Initial Student Transfer Application - Fairfax

Denied Code

Student Registration Signature

Date

Approved

Child Care Hardship (elementary)

Family Relocation Attach a lease or deed for primary residence in requested school's boundaries.

Attach affidavit for Student Transfer Child Care Requests.

Employee Location

Medical, Emotional, or Social Adjustment Attach independent, detailed professional documentation.

Sibling Name of Sibling at Requested School Grade

FCPS Employee Provide work location Senior Status (6th, 8th or 12th grade)

INSTRUCTIONS: The parent or guardian is to complete Part I and submit the application to the base school principal no later than June 1.

Read carefully the information provided in the Student Transfer Application Instructions and the Frequently Asked Questions before

completing the application. The student must attend the base school until a transfer decision is made. Reference: Regulation 2230,

Exceptions for Attendance at Other Than Base School and Procedure for Applying for Intracounty Exceptions.

Reason for Request: (choose one)

PART I. STUDENT TRANSFER REQUEST (please print) Date

Student DOB Sex

ID Number

Base School Requested School

Home Phone

Street

State ZIP Code

Last First MI

City

Parent or Guardian

Address

Work Phone

Requested School Year Grade

Male Female

Student applicants must be enrolled in FCPS.

Student transfers are granted on a space available basis.

Parent or Guardian Signature

Date

PART II. SCHOOL REVIEW AND RECOMMENDATION (office use only)

Base School

Reason

Principal Signature

PART III. FINAL PROCESSING STUDENT REGISTRATION (office use only)

Reason

Date

I understand if the transfer is approved: 1) transportation is not provided by Fairfax County Public Schools; 2) transfers are valid for one year

only; 3) transfers may be revoked if the reason for the transfer no longer exists, if the student does not attend school regularly, if the student

does not make academic progress, or if the student violates the code of conduct; 4) the student may not be eligible to participate for one year in

secondary school interscholastic athletics.

I certify that all the information on this application is correct to the best of my knowledge. In addition, I certify that the student involved in the

request is not seeking a transfer to participate in extracurricular activities including, but not limited to, athletics.

Requested School

Approve Deny

INITIAL STUDENT TRANSFER APPLICATION

APPLICATION MUST BE RECEIVED BETWEEN MARCH 1 AND JUNE 1

SS/SE-222 (1/13)

http://www.fcps.edu/it/forms/se252.pdf

High School Students ONLY:

Per Virginia High School League rules, students who transfer from one school to another may not be eligible to compete

in interscholastic (VHSL) athletics or activities for a period of 365 days. Eligibility is neither automatic nor guaranteed.

Follow-up questions can be directed to the local director of student activities after the transfer is approved. The desire

to participate in a sport or other extracurricular activity cannot be the basis for a student transfer

Please note: FCPS considers all student transfer applications on a space available basis. Applications are considered

annually. Students must attend their base school until transfer decisions are made. Transportation is not provided by

FCPS for students attending schools on approved student transfers.

A student transfer may be revoked if the reason for the transfer no longer exists, the student violates the student code of

conduct, the student does not attend school regularly, or the student does not make academic progress. The student will

be reassigned to the base school if the transfer is revoked

Additional information, including schools projected to be at enrollment capacity, is available online at

http://www.fcps.edu/fts/dashboard/index.shtml

How do I apply for a student transfer within FCPS?

A parent or guardian residing in Fairfax County may request a student transfer for his or her school-aged child (K-12) for

the following school year during transfer season. Students must be enrolled in the base school before starting the

application process. After registration, the transfer application and supporting documentation should be submitted to the

base school for consideration. See below for specific application requirements and time lines.

Initial Transfer Request:

Parents or guardians must complete Part I of the Student Transfer Application between March 1 and June 1 for

the following school year. The application should be submitted with documentation to the base school principal

for review and recommendation. The application is then routed to the requested school principal and to the Office

of Student Registration for action. The Office of Student Registration will notify the parent or guardian and

schools of the transfer decision in writing.

INITIAL STUDENT TRANSFER APPLICATION

Instructions

SS/SE-222 (1/13) 2

Why is a student allowed to transfer to another school within FCPS?

Transfer requests require documentation and are approved for the following reasons:

Child Care Hardship (elementary only) - Parents or guardians must document child care hardship

using the Affidavit for Student Transfer Child Care Requests (available at

within the base school boundaries and any extenuating circumstances. The child care provider must be located

within the requested school boundaries. Full-time, before and/or after school child care is needed for student

transfer consideration.

Medical, Emotional, or Social Adjustment - Detailed documentation, such as a medical

or psychological treatment plan from a licensed independent professional, is required.

FCPS Employees (20 or more hours per week) - Parent or guardian must indicate the work location on the

application. Requests must be for employee's children only. Requests can be made for the school where the

parent or guardian is employed or the school nearest the work location.

Senior Status - Students who are currently attending the requested school and wish to complete elementary,

middle, or high school at the same location may request senior status for 6

, 8

, or 12

grade. Students must

reside within FCPS attendance boundaries to continue attending an FCPS school.

Sibling - Parents or guardians may request a student transfer to avoid having children who live in the same

household attend multiple elementary, middle, or high schools. Name(s) and grade level(s) of sibling(s) must be

provided.

http://www.fcps.edu/it/forms/se252.pdf) . Documentation should include attempts made to secure child care