Eligibility Verification of Transfer Student (Step 1

Eligibility Verification of Transfer Student

Step 1 - Student & Family Information to be completed by Receiving School
In order to thoroughly and accurately collect all the information needed for this request please have parent / guardian and athlete present when filling out this form.
Receiving School
Receiving School*
School Year*

Student & Family Information
Student Information
Student Name*

First NameLast Name
Grade*
Birth Date*

MonthDayYear
Date
Previous Schools

Must list all schools attended upon initially entering 9th grade (in person and virtual).
Select a School from the list. If it is not found, select "Other"*
School Name*
State School Is Located In*

Transfer Scenario
State Reason for Transfer*
Please select one of the following:*

Change of residence by parents/guardians with studentChange of residence by the student onlyPending change of residence by parents/guardians with studentsNo change of residence by parents/guardians or student
Student's Current Address
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Currently lives with:*

MotherFatherOther (Relationship to student)
Is the student's current address within the receiving school's district or territory?*

YesNo

Eligibility Verification of Transfer Student