ORANGE COUNTY INTERDISTRICT TRANSFER AGREEMENTInterdistrict Transfer Agreement • January 28th, 2020
Contract Type FiledJanuary 28th, 2020Transfer requested for : Current school year Next school year20 _ - 20 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 ResidenceIrvine Unified School District 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.) Special Education Section 504 Gifted (GATE) English Language Learner If student is receiving Special Education services, what is their current placement? (please attach IEP) 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)Supporting documen
ORANGE COUNTY INTERDISTRICT TRANSFER AGREEMENTInterdistrict Transfer Agreement • January 28th, 2020
Contract Type FiledJanuary 28th, 2020Transfer requested for : Current school year Next school year20 _ - 20 Current Grade Grade in Year Requested 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 ResidenceIrvine Unified School District 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.) Special Education Section 504 Gifted (GATE) English Language Learner If student is receiving Special Education services, what is their current placement? (please attach IEP) Special Day (SDC) Resource (RSP) Non-Public School (NPS) Pending Assessment Other: What is/are the reason(s) for the request? (Check all that ap