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Form 1: Application for Transfer / Solicitud de Transferencia

Please complete the form below. Required fields marked with an asterisk *

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

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

Instrutctions: This form must be used for all students transfers, within the State of Texas, including hardships. Column instructions can be found on the reverse side of this form. 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.

Student Name*
Answer Required
Ethnic Code
Student Residence
Disrict Student Attended
Grade Level
Campus
Ethnic Code
Student's Residence
District Student Attended
Grade
Campus

This section must be completed by parent or guardian:

I have been informed of Hidalgo ISD's policy concerning transfers including the fact that my child has to mantain acceptable attendance and good discipline.

Address

State
Answer Required
Please upload a copy of your childs birth certificate, social security card, and a utility bill*
Answer Required
or drag it here.

OFFICE USE ONLY: This section must be completed by the receiving personnel:

The above transfer (s) was approved or disapproved.

Typed Name of Receiving District Superintendent

Mr. Xavier Salinas

Telephone

(956) 843-4405

Date:

HIDALGO INDEPENDENT SCHOOL DISTRICT does not discriminate on the basis of disability in admission to its programs, services, or activities, in access to them, in treatment of individuals with disabilities, or in any aspect of their operations. Discrimination in any school program because of the student's race, religion, color, sex, or national origin is strictly prohibited.