SEQUOIA UNION HIGH SCHOOL DISTRICT

ADJUSTMENT TRANSFER PROCESS

Date: ____________________

Parent/Guardian name: ______________________________________________

Address: ______________________________________________

City: ______________________________________________

Phone Number: _________________________

Students name: ______________________________________________

Date of birth: _________________________

DO YOU HAVE ANOTHER STUDENT IN THE SEQUOIA UNION HIGH

SCHOOL DISTRICT? _____YES WHAT SCHOOL?___________________________

_____NO

To Whom It May Concern:

I would like to request a transfer for _________________________________________
                                                          Name of Student

from ____________________________ to __________________________________
                 Name of Home School                               Name of Transfer School

for the following reason(s): _______________________________________________

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________


Signature of Parent________________________________ Date____________________
Does your student receive special education services? _______YES _______NO

PLEASE SEND YOUR REQUEST TO THE PRINCIPAL OF YOUR ASSIGNED SCHOOL.

SEQUOIA UNION HIGH SCHOOL DISTRICT
CARTA DE CAMBIO DE ESCUELA

Fecha:_____________________

Nombre del Padre/Tutor ____________________________________________

Direccin: ____________________________________________

Ciudad: ____________________________________________

Telfono: _________________________

Nombre del Estudiante: ____________________________________________

Fecha de cumpleaos: ____________________________________________

TIENE USTED OTRO HIJO/HIJA EN SEQUOIA UNION HIGH SCHOOL DISTRICT?

Marque uno SI _____ NO _____
EN CUAL ESCUELA?_________________________________

A quien corresponda:

Me gustara solicitar un cambio de escuela para mi hijo(a) _______________________________
                                                                                                Nombre del Estudiante

____________________________ cambio para _____________________________
Nombre de la escuela asignada Nombre de escuela solicitada

________________________ ______________________

Debido a las siguientes razones: ____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

Firma del padre/tutor__________________________________ Fecha___________________
Su hijo(a) est recibiendo servicios de Educacin Especial? S____ No_____

POR FAVOR MANDE ESTA CARTA A LA ESCUELA ASIGNADA PARA PEDIR EL CAMBIO