Student Transfer Form

JCS Student Transfer Form

All questions are required to be completed. One student per form must be submitted annually. Transfer forms must be received on or before December 1 for JCS employees and January 31 for all other K-8 requests.

School Year for Requested Transfer (20XX-20XX)

Grade Level for Requested Transfer

Email Address

STUDENT INFORMATION

Last Name

First Name Middle Initial

Student Age

Current School District

School District Student Wishes to Attend

Name of Parent or Guardian (First and Last)

Home Phone Number

Cell Phone Number

Mailing Address

Physical Address (if same as mailing address, leave blank)

Check if JCS Employee

Employee Location

Employee Position

Relationship to Listed Student

IMPORTANT INFORMATION PART 1

This transfer is contingent upon: Parent providing transportation, student maintaining satisfactory attendance, behavior, and timely remittance of lunch bills and school debts.

Please be aware that the West Virginia Department of Education mandates a maximum number of students per class (grades K-6). Therefore, if your child's class size exceeds the maximum limit, the transfer will be rescinded. The decision to rescind a transfer may be made up to and including the first day of the school year.

By providing an electronic signature (type your name), I am confirming that this application is true and accurate and I have read and understand Part I upon which the transfer can be approved or denied.

I acknowledge that typing my full name in the box below serves as my electronic signature.

Today's Date (mm/dd/yy)

Security Measure

Jefferson
County Schools