Out of Boundary Request

Out of Boundary Transfer Request

This form is for students who wish to attend a school that is out of their designated school boundaries.

"*" indicates required fields

Out of boundary approval and enrollment in any of our schools DOES NOT imply athletic eligibility

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Does the student currently attend a school in the Alpine School District?*

Yes

Birth Date*

Current Grade*

Grade Entering Next School Year*

Prior to filling out the Out of Boundary request form you will need your child's student identification number. If you do not know your child's student identification number, it is the same number they would use for lunch, you can contact the school they have been attending to get the number, or you can login to your child's Skyward account.

Antes de llenar este formulario necesita tener el numero de estudiante para su hijo o hija. Si no sabe el numero de estudiante, es el mismo numero que se usa para el almuerzo, se puede contactar a la escuela donde asiste actualmente su estudiante, o se puede acceder a Skyward a la cuenta de su estudiante.

Student Number

The student number will be 6-8 digits long

Verify Student

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Is Student ID Valid?

Yes

N/A

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General Information

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I understand that if/when this out of boundary 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 Boundary transfer.*

2023-24

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Today's Date

Is your student requesting an out of boundary 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

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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 Address*

Street Address City State ZIP Code

Parent Phone Number*

School District the student is transferring from.*

School the student is transferring from.*

Current School*

Boundary Jr. High/Middle School*

Requested School*

Does the student currently have a sibling attending the requested school?*

Yes

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

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

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

Reason for suspension or expulsion*

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Current Principal

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Requested Principal

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Current Registrar

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Boundary Registrar

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Requested 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 serious behavior problems, been suspended or expelled, or where the school/grade level has been declared closed to out of boundary requests.

I understand that students admitted to an out of boundary 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 and that my child is not eligible for district busing.

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 boundary transfer.

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Signature

Name*

First Last

Email*

Signed: 09/21/2023
From: 172.70.134.66
Form: Out of Boundary Request

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Resident School Principal Email

I understand that if/when this Out Of Boundary request is approved, I must contact the requested school to complete the application process. When completed, my student's records will be transferred.*

I understand