HiddenIEP on FIle? Yes No N/A ApplicationIf you have moved into the area of the school that you are requesting, it is not necessary to complete this document. You will need to contact the school and schedule an appointment to have your child enrolled.Parent Email * Required You will receive your approval or denial letter through email once your request has been reviewed.Student Name * Required First Last Student WVEIS Number Date of Birth * Required MM slash DD slash YYYY Gender * Required Male Female HiddenCurrent SchoolAlban ElementaryAlum Creek ElementaryAndrew Jackson MiddleAndrews Heights ElementaryAnne Bailey ElementaryBelle ElementaryBridgeview ElementaryCapital HighCedar Grove ElementaryCentral ElementaryChamberlain ElementaryChandler AcademyChesapeake ElementaryClendenin ElementaryCross Lanes ElementaryDu Pont MiddleDunbar Intermediate CenterDunbar MiddleDunbar Primary CenterEast Bank MiddleEdgewood ElementaryElk Elementary CenterElkview MiddleFlinn ElementaryGeorge Washington HighGrandview AnnexHayes MiddleHerbert Hoover HighHolz ElementaryHorace Mann MiddleJohn Adams MiddleKanawha City ElementaryKenna ElementaryLakewood ElementaryMalden ElementaryMary C. Snow West Side ElementaryMary Ingles ElementaryMcKinley MiddleMidland Trail ElementaryMontrose ElementaryNitro ElementaryNitro HighOverbrook ElementaryPiedmont Year-Round EducationPinch ElementaryPoint Harmony ElementaryPratt ElementaryRichmond ElementaryRiverside HighRuffner ElementaryRuthlawn ElementarySaint Albans HighSaint Andrews PresbyterianSharon Dawes ElementaryShoals ElementarySissonville ElementarySissonville HighSissonville MiddleSouth Charleston HighSouth Charleston MiddleWeberwood ElementaryWest Side MiddleCurrent School * Required Current Grade * RequiredPreschoolKindergarten1st2nd3rd4th5th6th7th8th9th10th11th12thRequested School * RequiredAndrew Jackson MiddleCapital HighChandler AcademyDu Pont MiddleDunbar MiddleElkview MiddleGeorge Washington HighHayes MiddleHerbert Hoover HighHorace Mann MiddleJohn Adams MiddleNitro HighRiverside HighSaint Albans HighSissonville HighSissonville MiddleSouth Charleston HighSouth Charleston MiddleWest Side MiddleGrade At Time of Transfer * RequiredPreschoolKindergarten1st2nd3rd4th5th6th7th8th9th10th11th12thDate Transfer Takes Effect * Required MM slash DD slash YYYY Parent Name * Required First Last Address * Required Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code County of Residence * Required Phone * RequiredCheck all that apply Student has an IEP Student enrolled in special ed classes Student has a 504 Are siblings attending requested school? * Required Yes No If Yes, Names of Siblings Please separate names with commasReasons for Requesting Transfer * RequiredParent Consent * Required I agree to be contacted via email, mail, and/or phone regarding the approval or rejection of this form.Parent Signature * RequiredParent Signature Date * Required MM slash DD slash YYYY HiddenStudent Consent I agree to be contacted via mail and/or phone regarding the approval or rejection of this form.Student SignatureStudent Signature Date MM slash DD slash YYYY