ROANOKE CITY SCHOOLS
STUDENT TRANSFER REQUEST
2016-2017 SCHOOL YEAR
APPLICATIONS WILL ONLY BE ACCEPTED FROM MARCH 15, 2016 – APRIL 15, 2016
(APPLICATIONS WILL BE ACCEPTED IF POSTMARKED OR HAND DELIVERED BY APRIL 15, 2016)
EVERY EFFORT WILL BE MADE TO NOTIFY PARENTS/GUARDIANS NO LATER THAN JUNE 15, 2016
PLEASE REFER TO THE BACK FOR INSTRUCTIONS ON COMPLETING THIS FORM
Student’s Name _________________________________
Student ID# ___________________________ (first and last name – no nickname)
2016-2017 Grade Level ______ Birth Date _______________ Sex _____ Race _________________
Address ___________________________________ City _________________ Zip Code _________ (street address – no PO Box)
Parent/Legal Guardian ____________________________ Roanoke City Resident Non-resident
$25 processing fee required
Home Phone _________________Work Phone ________________ Cell Phone __________________
School Student is Zoned to Attend _________________________________________________________
School Requested _____________________________________________________________________
Has your student ever been recommended for expulsion or long-term suspension? Yes No
Does your student currently participate in any activity governed by the Virginia High School League (athletics, cheerleading, Academic Bowl, etc.)? Yes No
If not currently, does your student plan to participate in a Virginia High School League governed activity during the 2016-2017 school year? Yes No
Transferring outside your attendance zone may mean that your student will not be eligible to participate in any Virginia High School League activity during the 2016-2017 school year.
* Check this box if your student receives special education services (including speech) and indicate the type of services received __________________________________________________________________
* For non-resident students only: If it is determined that a student needs a different program or services, I recognize that the School Board is under no obligation to accept or enroll the student in any program or to provide any special education services other than those listed above.
Request for transfer is for the following reason (these options meet the requirements for consideration of a student transfer as set by RCPS School Board Policy:
Relocation out of attendance zone
Documented Unique Hardship (legal and/or
(rising 5th, 8th or 12th graders only)
notarized documentation may be required)
Parent is full time RCPS employee
Specific reason for request: __________________________________________________________________________________
Parent/Guardian Signature: _______________________________Date ________________________
This form is for grades K through 12 only. Preschool applications must be made through the preschool program.
If you are seeking a transfer for more than one student, you must complete a separate request for each child.
A separate transfer request must be submitted for each school requested.
Requests must be legible and complete. Any incomplete request will not be considered. Information given on a request, such as address and response to question about expulsion or long-term suspension, may be compared to data in the school systems Student Information System for verification.
Requests must be submitted with an original signature. Faxed or photocopies will not be accepted.
Student ID # is the six-digit number issued to each student upon enrollment in Roanoke City Schools.
Students must be enrolled in the school they are zoned to attend before a transfer can be considered. For applicants living outside Roanoke City, students must be enrolled in their home school before an application for transfer will be accepted. Roanoke City School students, including those who were granted a transfer, who are completing the 5th and 8th grades are automatically promoted to their next zoned school based on their address.
You must list your address of residence, not a PO Box or business address. List the student’s complete address, including any directional suffixes (“NE”, “NW”, “SE”, or “SW”) as well as apartment or lot numbers.
Requests for transfer must fall under one of the four categories for transfer listed on the application. In addition, a specific and detailed reason for the request must be supplied.
Transportation for transfer students is not provided by Roanoke City Schools. Signing and submitting a request for school transfer certifies that the parent/guardian will provide transportation so that student will maintain good attendance (including promptness), the student will adhere to the school’s code of conduct and the student will engage in appropriate academic effort as determined by school personnel.
A processing fee of $25.00 is required for all non-resident applicants.
Return the completed request, and processing fee if applicable by no later than April 15, 2016, to RCPS Guidance Department at the following address:
Roanoke City Schools
School Counseling Department
P.O. Box 13145
Roanoke, Virginia 24031