Brookesmith

INDEPENDENT SCHOOL DISTRICT INDEPENDENT SCHOOL DISTRICT

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Brookesmith Independent School District

P.O. Box 706
Brookesmith, Texas 76827-0706
(325) 643-3023

NONRESIDENT STUDENT REQUEST TO TRANSFER INTO THE DISTRICT SCHOOL YEAR 2020-2021

Transfer Form

Student's Name

Student's Date of Birth

Current Address

Address

City

State / Province / Region

Zipcode Min: 1 Max: 5

Country

School district in which student resides

Bangs ISD

Brownwood ISD

Early ISD

Other

Parent's Name

Parent's Address

Address

City

State / Province / Region

Zipcode Min: 1 Max: 5

Country

Work Phone

Home Phone

School district in which student attends

Bangs ISD

Brownwood ISD

Early ISD

Other

Is either parent employed by the Brookesmith School District?

Yes

Has the student ever been enrolled in Brookesmith School District?

Yes

If Yes, What grade or school year?

Student's grade level for year of requested transfer

Reason for transfer request

How many days was the student absent in the school year prior to the year for which a transfer is requested?

If this request is for a transfer during a school year, how many days has the student missed in the current school year?

If the student missed more than ten percent of the days in the school year, please provide an explanation:

Has the student been expelled or removed to a disciplinary alternative education program (DAEP) for one or more days in the most recent school year?

Yes

Has the student been expelled or removed to a disciplinary alternative education program (DAEP) for one or more days during the preceding year?

Yes

If yes to either question, for what offense(s)?

Please include the most recent report card.

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By typing my name below. I acknowledge the information provided in this form is true and factual to the best of my knowledge, and I understand that if any of this information is ever found to be incorrect, this application may be denied or revoked.

Date

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