Jefferson County Public Schools

 Student Transfer Application

Student and Household Information

This section is pre-populated from our records.
Student's Name: Sex: Date of Birth:
Last First Middle Suffix
Student's Address:
Street Apt. No. City State Zip Code
Parents/Guardians:
Name Relationship Home Phone No. Work Phone No. Cell Phone No. E-mail
Other Children in the Home:
Name:  Grade: School:

Application Information

Please complete this section.
The primary e-mail address is where we will send information about this application's status.
 Grade: Primary E-mail Address:

Last School Attended

Complete this section.
Enter the name, city, and state of the school that the child most recently attended.
This may be the school that the child is currently attending.
School Name:
City, State:

Transfer School Choices

Please complete this section.
This section cannot be completed until you have selected a grade.

Additional Information

Please complete this section.
Student's  Assigned School:

In the space below, please provide the specific reasons that explain why the student should be transferred to the requested school. You may include documentation that supports this request. The information provided must be accurate. The district reserves the right to void any transfer request that provides inaccurate information supplied by an applicant.



Not Saved
Grade level not selected
Primary e-mail not entered
Enter last school attended
name, city, and state
Last school attended entered
1st choice transfer school not selected
Answer all questions under Additional Information
Application not submitted