ORANGE COUNTY INTERDISTRICT TRANSFER AGREEMENTInterdistrict Transfer Agreement • March 21st, 2012
Contract Type FiledMarch 21st, 2012Transfer requested for : Current school year Next school year20 - 20 Student’s Grade in 2017-2018 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 Name Contact Number: Home Work Cell Email Address Contact Number: Home Work Cell Address City/Zip 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 their current placement? (Please attach IEP for New Applications)Special Day (SDC) Resource (RSP) Non-Public School (NPS) Pending Assessment Other: What is/are the reason(s) for the request? (Check all that apply and attach supporting