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Paint Rock ISD Transfer Application

***With your application, please submit copies of the student's discipline and attendance records from the previous school, along with a copy of the student's most recent report card and/or transcript.***

Student’s name

Is either parent employed by Paint Rock ISD?

Has the student ever been enrolled in Paint Rock ISD?

If so, what was the most recent year the student attended Paint Rock ISD?

Current physical address

School district in which student resides

Parent’s name

Parent’s mailing address

Parent’s home/cell phone

Work phone

Parent’s email address

Reason for transfer request

Student’s grade level for year of requested transfer

Student’s attendance record

How many days was the student absent in the school year prior to the year forwhich the transfer is requested

If this request is for 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 (10%) of the days in the school year,please provide an explanation for absences

Has the student been expelled or removed to a DAEP campus for one or more days in themost recent school year

During the preceding year

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

Paint Rock ISD will notify the parent/guardian if the application has been approved or denied. If approved, a required meeting with the school principal will be arranged to discuss and sign the Paint Rock Transfer Contract.
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.

Signature
For Office Use:
Transfer approved______ Transfer revoked______
Principal Signature ________________________________________________
Date:_____________________
Superintendent Signature__________________________________________
Date:_____________________
Date of Birth:
Social Security #:
Grade:
Sex:
Ethnicity:
Residence Co./Dist. #