Intra-District Transfer Application

Student Name

First NameLast Name
What is the student's grade for the 2026-2027 school year?
What is the student's gender?
What is the student's race?
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student's Date of Birth

MonthDayYear
Date
Home Phone
Parent/Guardian Cell Phone
Parent/Guardian Name
Parent Email
example@example.com
Does this student receive Special Education?( IEP, Speech, OT, PT, etc.)

YesNo
Does this student have a 504 plan?

YesNo
What is your zoned school? (Please see the school zone locator on our website.)
What NLRSD school is your first choice?
What NLRSD school is your second choice?
What NLRSD school is your third choice?
Explain briefly your reason for requesting this transfer.
Upon approval, your child will be allowed to remain until they have completed the highest grade level at that school. TRANSPORTATION IS NOT PROVIDED.

You may be required to provide the school with the following information:

* Birth Certificate Immunization

* Special Education Papers Transcript

NOTE: During the first two weeks of school, all elementary school assignments are tentative. This permission may be revoked due to excessive unexcused tardiness or abscences.
Signature

Clear
Date

MonthDayYear
Date
Should be Empty: