La Habra City School District Interdistrict Transfer Agreement 2020-2021Interdistrict Transfer Agreement • January 17th, 2020
Contract Type FiledJanuary 17th, 2020STEP 1: To be completed by parent/guardian (Please Print) New Request Renewal Student Name (Last) Student’s Grade Date of Request Student Name (First) Birth Date Current or Last School of Attendance Current or Last District of Attendance School of Residence District of Residence School Requested District Requested Parent/Guardian Mother: Father: Guardian: Student lives with: Mother Father Both Parents GuardianOther Contact Number: Home Work Cell Address City/Zip Email Address Is the student currently pending disciplinary action or under an expulsion order? Yes No What special services has the student received? (Check all that apply and attach proof of enrollment in the special program.)Gifted (GATE) Section 504 Special Education English Language Learner If student is receiving Special Education services, what is his/her current placement? (please attach IEP) Pending Assessment Speech and Language Resource (RSP) Special Day (SDC) Non-Public School (NPS) Other: What is the reason
La Habra City School District Interdistrict Transfer Agreement 2019-2020Interdistrict Transfer Agreement • February 1st, 2019
Contract Type FiledFebruary 1st, 2019STEP 1: To be completed by parent/guardian (Please Print) New Request Renewal Transfer requested for : Current school year Next school year Student’s Grade Date of Request Student Name (Last, First) Birth Date Current or Last School of Attendance Current or Last District of Attendance School of Residence District of Residence School Requested District Requested Parent/Guardian Mother: Father: Student lives with: Mother Father Both ParentsOther Contact Number: Home Work Cell Address City/Zip Email Address Is the student currently pending disciplinary action or under an expulsion order? Yes No What special services has the student received? (Check all that apply and attach proof of enrollment in the special program.)Gifted (GATE) Section 504 Special Education English Language Learner If student is receiving Special Education services, what is his/her current placement? (please attach IEP) Pending Assessment Speech and Language Resource (RSP) Special Day (SDC) Non-Public School (N