The School District of Escambia County

Enrollment Services

Email: SchoolChoice@ecsdﬂ.us|Phone: (850) 469-5580

(____) Address Change/Compleon of Level (For students wishing to complete the highest grade level at their current school.)

(____) School Choice for -- (Deadlines may apply.)

(____) School Choice for -- (Deadlines may apply.) Career Academy : ________________________________

(____)

Residenal -- Aach proof of residence (of homeowner) and the notarized Owner Aﬃdavit form.

(____)

(____) District Employee -- Aach a copy of employee badge. School of Employment _______________________

(____) Medical Need -- Provide veriﬁcaon from principal or leer from physician.

(____) Parental Change of Authority in FOCUS (Birth Cerﬁcate Required)

(____) Request to be Added to FOCUS (Custody documentaon required)

(____) Guardianship/Foster Parents -- Aach legal documents awarding guardianship. (In-District Request ONLY.)

(____) HOPE Scholarship/Safety (Noﬁcaon form required.)

(____) Opportunity Scholarship (Limited to Qualifying Schools.)

School Choice for -- (Deadlines may apply.) Career Academy : ___________________

Sibling Support -- Name (_____________________) and Student Number (_____________) of sibling already at the desired

Did you parcipate in athlecs at your previous school? Yes ____ | No ____ If "Yes", what is the last date of parcipaon?

If "Yes", which sport(s)? _______________________________________________________________________________________________

REQUEST FOR STUDENT TRANSFER | School Year: 2023-2024

Please PRINT cleary above each line. Be sure to include any relevant documentaon if necessary.

ELEMENTARY SCHOOL

MIDDLE SCHOOL (Required)

(Grades 9-12 Only)

(Required)

HIGH SCHOOL (Grades 9-11 Only) (Required)

STUDENT INFORMATION

PARENT / GUARDIAN INFORMATION

REASON FOR TRANSFER REQUEST - Check ONE only, then aach relevant documentaon as needed.

HIGH SCHOOL ATHLETICS / EXTRA CURRICULAR ACTIVITIES

PARENT / GUARDIAN SIGNATURE

Student Name Birthdate Gender Race Grade

Focus (Student) ID Previous/Current School Residenally Zoned School Requested School

Parent/Guardian Name Street Address Line 1

Best Phone Number Street Address Line 2 (Oponal)

Email Address City State ZIP Code

Parent/Guardian Signature Date

STU # ID ABSENCES: TARDIES: DISCIPLINE: GRADES: ____ A ____ B ____ C ____ D ____ F

____S ____ N ____ U ____ I

FTE: EXCEPTIONALITY: 504 PLAN DATE: IEP: Y | N

DENIED: FOCUS: CONTACT:

ver: 20230201

APPROVED:

Proof of residence is REQUIRED to process transfer requests

I understand that

transportation to an approved school remains the responsibility of the parent/guardian

. I understand that providing false information shall invalidate my child's

permission to attend his/her non-districted school. An approved transfer request may be rescinded if a student does not maintain

acceptable grades, attendance, and behavior, thus resulting in reassignment to the student's residentially-zoned school.

DO NOT WRITE BELOW. OFFICIAL USE ONLY.

OCTOBER FEBRUARY

SIGNATURE DATE SIGNATURE DATE ENTERED BY DATE ENTERED BY DATE METHOD