ADJUSTMENT TRANSFER PROCESS
Date: ____________________
Parent/Guardian name: ______________________________________________
Address: ______________________________________________
City: ______________________________________________
Phone Number: _________________________
Students name: ______________________________________________
Date of birth: _________________________
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