Fillable Printable Teacher Request for Transfer Form
Fillable Printable Teacher Request for Transfer Form
Teacher Request for Transfer Form
TEACHER REQUEST FOR TRANSFER
Last Name First Name M.I. Employee ID Number Date of Application
Address School or Division
Grade/Subject Taught
City State Zip Code Home Phone Please indicate ethnicity and gender
African American
Caucasian
Latino
Male
Female
SCHOOLS REQUESTED
(You may list up to ten schools in order of preference)
I certify that the above employee has currently been rated by me as:
DISTRIBUTION:
FOR OFFICE USE ONLY
After carefully reading the directions on the reverse side of this application, I hereby make application for voluntary transfer for
school year beginning _____________________, 20_____. I understand that my transfer must be received by Professional Staff
during the period of February 1st through May 1st. My purpose in asking for this transfer is:
Basic Transfer Policy
Preferential Right to Return
Right to Follow Class
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Asian
Native American
Other
(Check one box only)
My signature indicates that I have read and understand the instructions on the reverse side of this form.
THE SCHOOL DISTRICT OF PHILADELPHIA
OFFICE OF HUMAN RESOURCES
Satisfactory
Date:_____________________
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Unsatisfactory
Signature of Principal or Administrator:__________________________________________
Date:_____________________Signature of Applicant:__________________________________________________
CAREFULLY READ THE INSTRUCTIONS ON THE REVERSE SIDE OF THIS APPLICATION
Organization:_______________________________ List:_______________________________ Assignment Code:______________
System:_____________________________________ Score:__________________
Transfer Approved:________________________ Disapproved:________________________ Date:______________________
SEH-235 (Rev. 5/11)
Offi ce of Human Resources
Professional Staffi ng Division
You must have two years of building seniority to request a voluntary transfer.
You must have received a satisfactory rating in the rating period prior to your request.
Your transfer request must be signed by your Principal/Administrator.
All transfer requests must be received by Professional Staffi ng between February 1st and May 1st.
Transfers submitted at any other time will not be accepted.
The submission of this request will supersede and invalidate all previous transfer requests.
Transfer requests cannot be altered. A new request must be submitted to amend any requested school.
Applicants are not privileged to decline a transfer granted in accordance with this request. Persons
wishing to withdraw a transfer request must do so in writing prior to approval of the transfer.
A teacher requesting a voluntary transfer may list up to but no more than ten (10) choices of named
schools in order of preference.
Requests for specifi c grade or roster assignments cannot be assured.
Transfers are granted on the basis of school (location) seniority. School seniority is calculated from the
effective date of appointment, or last voluntary transfer, or last classifi cation change due to an examination.
A preferential right to return must be fi led within one year of the date of the initial transfer. Such transfer
must be renewed by May 1 of each succeeding year. If such request is not renewed each year, the right
to return becomes invalid. The request is then considered as a voluntary transfer.
If a request is for a right to return, list only the school to which you have a right to return. File a separate
request for any school for which you desire a voluntary transfer.
A right to follow a class can be requested only when all or part of the student body is moving to a differ-
ent school.
If you fi le a right to return or a right to follow request and you fi le a voluntary transfer request, such a
voluntary transfer will remain valid even if your other request is granted. If your right to return or right to
follow request is granted, and you do not wish your voluntary transfer to be considered, then the voluntary
transfer must be withdrawn, in writing, before it is honored.
Teachers appointed as teacher of Early Childhood or Teacher of Elementary Education with Early Child-
hood Certifi cate may request a voluntary transfer to a Parent Cooperative Nursery, PreK Headstart,
Kindergarten, or Elementary grade position by specifying such request on the transfer form.
Teachers appointed as teacher of Early Childhood or Elementary Education with elementary certifi ca-
tion may request a voluntary transfer to a Kindergarten or Elementary grade position by specifying such
request on the transfer from.
If you applied for site selection and are selected, your voluntary transfer and/or right to return will remain
valid unless you rescind the request in writing prior to approval of the transfer.
Any teacher transferring to an Out of Experience Balance school shall retain his/her building seniority.
INSTRUCTIONS
SEH-235 (Rev. 5/11)
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