PETROLIA C.I.S.D. TRANSFER POLICY ADMISSIONS INTERDISTRICT TRANSFERS NO INTERDISTRICT A non-resident student shall not be permitted to attend District schools except TRANSFERS as provided below:

1. Children of non-resident Petrolia CISD employees shall be eligible to attend Petrolia schools as long as all Transfer Guidelines are met. All transfer students are subject to Transfer Limitations and Guidelines, and continuing

enrollment is granted on a yearly basis following an evaluation of the student’s overall performance.

2. Current transfers shall be permitted to continue subject to an evaluation each year after June 1. 3. Effect on class size and UIL classification will also be taken into consideration. A parent may request that his or her child be admitted into District schools by filing an application with the Superintendent or designee. Transfers shall be granted for one regular school year at a time, on a tuition free basis. Transfer acceptance limitations are as follows:

LIMITATIONS 1. Unacceptable attendance habits 2. Unsatisfactory academic records. Students served under IDEA, Sect. 504, or other academic special needs programs will not be penalized for unsatisfactory academic performance 3. A pattern of discipline problems 4. Uncooperative or unsupportive parents/guardians in following student attendance and student discipline guidelines 5. Acceptance of the student would cause the district to exceed the state’s class size limitation, which would necessitate the hiring of additional personnel 6. Incorrect or misleading information provided during the application process TRANSFER AGREEMENT A transfer student shall be notified in the written transfer agreement that he or

she must follow all rules and regulations of the District. Violation of the following terms of the agreement may result in a transfer request not being approved the following years.

TERMS OF AGREEMENT 1. Exhibit acceptable attendance habits (greater than 90% attendance, having no unexcused absences) 2. Maintain satisfactory academic performance 3. Display acceptable behavior both in and out of school and when participating in extracurricular events 4. Parents/guardians maintain a cooperative and supportive relationship with the school in terms of student

attendance and student discipline guidelines APPEALS Parents may appeal a transfer revocation to the Superintendent.

Petrolia Consolidated Independent School District

NONRESIDENT STUDENT REQUEST TO TRANSFER INTO THE DISTRICT

School Year: _________________________

1. Student’s name: _____________ / ______________ / _____________ Male/Female First Middle Last

_____ / ____ / _____ ___ / ___ / ___ ____________ Social Security Number Date of Birth Ethnicity

2. Current Address: __________________________________________________

Physical Address

___________________________________________________________________________

Mailing Address

3. School District in which student resides: ________________________________

4. School student is currently attending or last attended if just

moved:__________________________________

5. Parent’s name: ____________________________________________________

6. Parent’s physical address: (no post office box number)

_____________________________________________

Street

_________________ / ____________ / ______________

City State Zip

7. Home phone: ___________________________________

Cell phone: _____________ / work phone: ____________

8. Reason for transfer request:__________________________________________

_____________________________________________________________________________

___________________________________________________

9. Are there siblings? Yes No

10. Is either parent employed by the Petrolia C.I.S.D.? Yes No

11. Has the student ever been enrolled in Petrolia C.I.S.D.? Yes No

12. Student’s grade level for year of requested transfer: _______________

13. Student’s number of credits earned (High School student only) ______________

14. Student’s attendance record: Documentation required (attach to application)

a) How many days was the student absent in the school year prior to the year for which a

transfer is requested? __________

b) If this request is for a transfer during a school year, how many days has the student

missed in the current school year? __________

c) If the student missed more than ten percent of the days in the previous or current school

year, please provide an explanation: __________________

___________________________________________________________

___________________________________________________________

15. Has the student been suspended, expelled or placed in any alternative classroom setting

(D.A.E.P., In-school Suspension, etc.) during the current or previous school year?

Yes No

If yes to any above action, explain:

__________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

Student Academic Record

Please provide the following information:

a) Copy of Birth Certificate

b) Copy of Social Security Card

c) Copy of STAAR/State Achievement test results

d) Copy of latest report card/transcript

e) Copy of immunization record

f) Discipline Records

g) Check special program(s) which currently apply to student

G/T___ Special Education ___ Speech ___

504 ___ ESL ___ Other ___

As a parent or person standing in the position of legal responsibility for the child named in this request I

acknowledge that I have received a copy of Petrolia C.I.S.D. policies FDA (LEGAL) and FDA (LOCAL)

and the Transfer Agreement that must be executed before the child is enrolled in the District. 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 agreement may be denied or revoked.

Parent Signature: _____________________________________

Printed Name: ________________________________________

Date: _____ / _____ / _____

Principal recommendation:

Transfer Recommended Transfer Disapproved

Principal signature: ____________________________________

Date: _____ / _____ / _____

Superintendent Signature:

Transfer Approved Transfer Disapproved

Superintendent Signature: _______________________________

Date: _____ / _____ / _____

TRANSFER AGREEMENT

This Transfer Agreement establishes the terms and conditions for ______________________ (“student”)

to attend the Petrolia C.I.S.D. public schools (“District”) as a transfer student for the _____________

school year, although the student is a resident of the _____________________ I.S.D. The student’s

parent or other person having lawful control of the student, _______________________ (“parent”)

request that the student be permitted to attend District schools in the ______________ school year and

agrees to the following terms and conditions for that transfer.

1. This transfer is effective for the current school year only. District approval of this transfer creates

no right or expectation that the student will be admitted as a transfer for any subsequent school

year.

2. This transfer is approved for the named student only. District approval of this transfer creates no

right or expectation that another student from the same family will be admitted as a transfer.

3. Transfer fees are outlined in the Petrolia C.I.S.D. Transfer Student Tuition Policy. The District

does not charge a fee per household.

4. The student must maintain acceptable levels of attendance and compliance with District rules and

regulations, including the Student Code of Conduct, throughout the entire school year.

Acceptable levels are defined as:

a) Attendance that does not place the student at risk of losing credit under Education Code

25.092 or require the District to warn the parent of the student of truancy proceedings

under Education Code 25.095;

b) Compliance with the District’s rules and regulations, including the Student Code of

Conduct, such that no offenses result in removal to a disciplinary alternative education

program or expulsion and no more than three referrals are made within any grading

period for other misconduct.

5. In accordance with Board policy FDA (LOCAL), the Superintendent may revoke the transfer of a

student who fails to maintain an acceptable level of attendance or compliance with District rules

and regulations, including the Student Code of Conduct. Notice of revocation will be sent to the

School District of residence.

6. The parent of the student will be responsible for transportation to and from the District if the

choice is made to not have the student ride the bus provided.

7. The student and parent acknowledge that eligibility of transfer students for participation in any UIL

activity or other activities governed by UIL rules and regulations will be determined in accordance

with UIL rules and regulations.

8. Except as modified by this transfer agreement, the student will be subject to all policies,

regulations, rights, privileges, and responsibilities of enrollment in the District for the school year.

I hereby acknowledge that I have read, understand and agree to the following policies, terms and fees of

the Petrolia Consolidated Independent School District Student Transfer System.

Parent or Legal Guardian signature: _____________________________________________

Date: _____ / _____ / _____

TEXAS EDUCATION AGENCY

Division of Equal Education Opportunity

APPLICATION FOR TRANSFER

for school year ______________________

Petrolia C.I.S.D.

039-903

Authority for Data Collection: Texas Education Code 21.061; Civil Action 5281, Section A

Planned Use of the Data: To complete the report required by Federal Court Civil Action 5281

Instruction: This form must be used for all student transfers, within the State of Texas, including hardship.

The superintendent of the receiving district must circle approved or disapproved and sign the transfer form.

For further information, contact the Division of Equal Education Opportunity at (512) 463-9671.

DISTRICT OF RESIDENCE EXEMPTION/

STUDENT STUDENT ETHNIC AND SCHOOL HARDSHIP STUDENT'S CAMPUS ASSIGNED

STUDENT NAME(S) DOB SS# CODE CURRENTLY ATTENDING CODE GRADE RECEIVING DISTRICT

Ethnic Code: (1) American Indian or Alaskan Native (2) Asian or Pacific Islander (3) Black, not Hispanic (4) Hispanic (5) White, not hispanic

This section must be completed by parent or guardian:

I have been informed of the receiving district's fees and policies concerning a transfer student and understand that any violation of Board policy, including student conduct,

or attendance may result in revocation of the transfer agreement; written notification of the transfer revocation shall be sent to the school district of residence.

Signed: _____________________________________________________ Telephone No.: _________________________

Parent or Guardian's Signature Telephone No.: _________________________

Address: __________________________________________________________________________________

Physical and mailing address

This section must be compleed by the receiving district superintendent:

The above student(s) was approved

disapproved this ________ day of __________, 20____.

______________________________________________________________

Superintendent Signature