Out of Area Request Request for Out-of-Area Transfer This form is for students who wish to attend a school that is out of their designated school boundaries. "*" indicates required fields English Español * I understand that if/when this out of area request is approved, my student's records will be transferred to the requested school. Please select the enrollment year for which you are applying for an Out of Area transfer.* 2021-22 HiddenToday's Date Does the student currently attend a school in the Alpine School District?* Yes No Is your student requesting an out of area transfer to an Elementary school or a Jr. High/High school?*If your student is transferring from an elementary school to a Jr. High/Middle school, please select Jr. High/High School. Elementary Jr. High/High School Do you have a preference for which track your student is on? (If applicable) Track A (early) Track B (late) Student Name* First Last Student Number The student number will be 6-8 digits longCurrent Grade*Select...Pre-K/Will Be Entering KindergartenKindergarten123456789101112Grade Entering Next School Year*Select...Kindergarten123456789101112Birth Date* MM slash DD slash YYYY Student Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Parent Phone Number*School District the student is transferring from.* School the student is transferring from.* Current School*Type to search...Alpine Elementary SchoolAlpine OnlineAmerican Fork High SchoolAmerican Fork Jr High SchoolAspen Elementary SchoolBarratt Elementary SchoolBelmont ElementaryBlack Ridge ElementaryBonneville Elementary SchoolBrookhaven ElementaryCanyon View Junior High SchoolCascade Elementary SchoolCedar Ridge Elementary SchoolCedar Valley Elementary SchoolCedar Valley High SchoolCentennial Elmentary SchoolCentral Elementary SchoolCherry Hill Elementary SchoolDeerfield Elementary SchoolDry Creek ElementaryEagle Valley Elementary SchoolEaglecrest Elementary SchoolFoothill Elementary SchoolForbes Elementary SchoolFox Hollow ElementaryFreedom Elementary SchoolFrontier Middle SchoolGeneva Elementary SchoolGreenwood Elementary SchoolGrovecrest Elementary SchoolHarbor Point Elementary SchoolHarvest ElementaryHidden Hollow ElementaryHighland Elementary SchoolHillcrest Elementary SchoolLake Mountain Middle SchoolLakeridge Junior High SchoolLegacy Elementary SchoolLehi Elementary SchoolLehi High SchoolLehi Junior High SchoolLiberty Hills ElementaryLindon Elementary SchoolLone Peak High SchoolManila Elementary SchoolMeadow Elementary SchoolMount Mahogany ElementaryMountain Ridge Jr High SchoolMountain Trails ElementaryMountain View High SchoolNorth Point ElementaryNorthridge Elementary SchoolOak Canyon Junior High SchoolOrchard Elementary SchoolOrem Elementary SchoolOrem High SchoolOrem Junior High SchoolParkside ElementaryPleasant Grove High SchoolPleasant Grove Junior HighPolaris High School - EastPolaris High School - WestPony Express Elementary SchoolRidgeline ElementaryRiver Rock ElementaryRiverview ElementaryRocky Mountain ElementarySage Hills ElementarySaratoga Shores ElementarySego Lily Elementary SchoolSharon Elementary SchoolShelley Elementary SchoolSilver Lake ElementarySkyridge High SchoolSnow Springs Elementary SchoolSpringside ElementarySuncrest Elementary SchoolThunder Ridge ElementaryTimberline Middle SchoolTimpanogos High SchoolTrailside Elementary SchoolTraverse Mountain ElementaryValley View Elementary SchoolViewpoint Middle SchoolVineyard Elementary SchoolVista Heights Middle SchoolWestfield Elementary SchoolWestlake High SchoolWestmore Elementary SchoolWillowcreek Middle SchoolWindsor Elementary SchoolBoundary Jr. High/Middle School*Type to search...American Fork Jr High SchoolCanyon View Junior High SchoolFrontier Middle SchoolLake Mountain Middle SchoolLakeridge Junior High SchoolLehi Junior High SchoolMountain Ridge Jr High SchoolOak Canyon Junior High SchoolOrem Junior High SchoolPleasant Grove Junior HighTimberline Middle SchoolViewpoint Middle SchoolVista Heights Middle SchoolWillowcreek Middle SchoolRequested School*Type to search...Alpine Elementary SchoolAlpine OnlineAmerican Fork High SchoolAmerican Fork Jr High SchoolAspen Elementary SchoolBarratt Elementary SchoolBelmont ElementaryBlack Ridge ElementaryBonneville Elementary SchoolBrookhaven ElementaryCanyon View Junior High SchoolCascade Elementary SchoolCedar Ridge Elementary SchoolCedar Valley Elementary SchoolCedar Valley High SchoolCentennial Elmentary SchoolCentral Elementary SchoolCherry Hill Elementary SchoolDeerfield Elementary SchoolDry Creek ElementaryEagle Valley Elementary SchoolEaglecrest Elementary SchoolFoothill Elementary SchoolForbes Elementary SchoolFox Hollow ElementaryFreedom Elementary SchoolFrontier Middle SchoolGeneva Elementary SchoolGreenwood Elementary SchoolGrovecrest Elementary SchoolHarbor Point Elementary SchoolHarvest ElementaryHidden Hollow ElementaryHighland Elementary SchoolHillcrest Elementary SchoolLake Mountain Middle SchoolLakeridge Junior High SchoolLegacy Elementary SchoolLehi Elementary SchoolLehi High SchoolLehi Junior High SchoolLiberty Hills ElementaryLindon Elementary SchoolLone Peak High SchoolManila Elementary SchoolMeadow Elementary SchoolMount Mahogany ElementaryMountain Ridge Jr High SchoolMountain Trails ElementaryMountain View High SchoolNorth Point ElementaryNorthridge Elementary SchoolOak Canyon Junior High SchoolOrchard Elementary SchoolOrem Elementary SchoolOrem High SchoolOrem Junior High SchoolParkside ElementaryPleasant Grove High SchoolPleasant Grove Junior HighPolaris High School - EastPolaris High School - WestPony Express Elementary SchoolRidgeline ElementaryRiver Rock ElementaryRiverview ElementaryRocky Mountain ElementarySage Hills ElementarySaratoga Shores ElementarySego Lily Elementary SchoolSharon Elementary SchoolShelley Elementary SchoolSilver Lake ElementarySkyridge High SchoolSnow Springs Elementary SchoolSpringside ElementarySuncrest Elementary SchoolThunder Ridge ElementaryTimberline Middle SchoolTimpanogos High SchoolTrailside Elementary SchoolTraverse Mountain ElementaryValley View Elementary SchoolViewpoint Middle SchoolVineyard Elementary SchoolVista Heights Middle SchoolWestfield Elementary SchoolWestlake High SchoolWestmore Elementary SchoolWillowcreek Middle SchoolWindsor Elementary SchoolDoes the student currently have a sibling attending the requested school?* Yes No You've selected a school that is currently closed to out of area students. Please use the field below to explain the reason for your request or select a different school. Reason For Request*Does your student currently have an IEP?* Yes No Is your student currently in the Special Education Life Skills/Special Class program?*A student in the Life Skills program will be reviewed by Special Education in order to determine if the requested school can meet your student's needs. Yes No Has the student ever been suspended or expelled from a public school?*A student may be denied an open enrollment opportunity if the student has been suspended or expelled from a public school consistent with 53A-2-208(3)(b) Yes No Reason for suspension or expulsion*HiddenCurrent PrincipalHiddenRequested PrincipalHiddenCurrent Registrar HiddenBoundary Registrar HiddenRequested Registrar * I understand that all transfer requests are contingent on early enrollment school capacity ("maximum capacity") or late enrollment school capacity ("adjusted capacity"), special program limitations, staff availability, and/or circumstances under 53A-2-207(4)(c). If this request is granted, I agree to leave my child at the requested school through the end of the requested school year. * I understand that a request may be denied in cases where the student has a history of excessive behavior problems, been suspended or expelled, or where the school/grade level has been declared closed to out of area requests. * I understand that students admitted to an out of area school may remain enrolled without a renewed application for attendance in subsequent years at the school unless any of the following occurs: The student graduates; Is no longer a Utah resident; or the district determines that enrollment will exceed the open enrollment threshold. * I understand that I, as parent or guardian, am responsible for transportation of my student to and from school. * I understand that my student may not be eligible to participate in Utah High School Activities Association (UHSAA) activities based on the UHSAA school transfer rules and policies. For more information please contact the UHSAA. * I understand that any falsification of information on this form will result in cancellation of out of area transfer. HiddenSignatureSignatureName* First Last Email* Signed: 06/15/2021 From: 172.70.34.152 Form: Out of Area RequestHiddenResident School Principal Email