IEP on FIle?YesNoN/AApplicationIf 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 NumberDate of Birth - must be mm/dd/yyyy format * Required Date Format: MM slash DD slash YYYY Gender * RequiredMaleFemaleCurrent SchoolAlban ElementaryAlum Creek ElementaryAndrew Jackson MiddleAndrews Heights ElementaryAnne Bailey ElementaryBelle ElementaryBridge ElementaryBridgeview ElementaryCapital HighCedar Grove ElementaryCedar Grove MiddleCentral ElementaryChamberlain ElementaryChandler AcademyChesapeake ElementaryClendenin ElementaryCross Lanes ElementaryDu Pont MiddleDunbar Intermediate CenterDunbar MiddleDunbar Primary CenterEast Bank MiddleEdgewood ElementaryElk Elementary CenterElkview MiddleFlinn ElementaryGeorge C. Weimer ElementaryGeorge Washington HighGrandview ElementaryHayes MiddleHerbert Hoover HighHolz ElementaryHorace Mann MiddleJohn Adams MiddleKanawha City ElementaryKenna ElementaryLakewood ElementaryMalden ElementaryMarmet ElementaryMary C. Snow West Side ElementaryMary Ingles ElementaryMcKinley MiddleMidland Trail ElementaryMontrose ElementaryNitro ElementaryNitro HighOverbrook ElementaryPiedmont Year-Round EducationPinch ElementaryPoint Harmony ElementaryPratt ElementaryRaglin Community CenterRichmond ElementaryRiverside HighRuffner ElementaryRuthlawn ElementarySaint Albans HighSaint Andrews PresbyterianSharon Dawes ElementaryShoals ElementarySissonville ElementarySissonville HighSissonville MiddleSouth Charleston HighSouth Charleston MiddleWeberwood ElementaryWest Side MiddleCurrent School * RequiredCurrent Grade * RequiredPreschoolKindergarten1st2nd3rd4th5th6th7th8th9th10th11th12thRequested School * RequiredAndrew Jackson MiddleCapital HighCedar Grove MiddleChandler AcademyDu Pont MiddleDunbar MiddleEast Bank MiddleElkview MiddleGeorge Washington HighHayes MiddleHerbert Hoover HighHorace Mann MiddleJohn Adams MiddleMcKinley MiddleNitro HighRiverside HighSaint Albans HighSissonville HighSissonville MiddleSouth Charleston HighSouth Charleston MiddleWest Side MiddleGrade At Time of Transfer * RequiredPreschoolKindergarten1st2nd3rd4th5th6th7th8th9th10th11th12thDate Transfer Takes Effect - must be mm/dd/yyyy format * Required Date Format: MM slash DD slash YYYY Parent Name * Required First Last Address * Required 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 County of Residence * RequiredPhone * RequiredCheck all that apply Student has an IEP Student enrolled in special ed classes Student has a 504 Are siblings attending requested school? * RequiredYesNoNames of SiblingsPlease 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 - must be mm/dd/yyyy format * Required Date Format: MM slash DD slash YYYY Student Consent I agree to be contacted via mail and/or phone regarding the approval or rejection of this form.Student SignatureStudent Signature Date - must be mm/dd/yyyy format Date Format: MM slash DD slash YYYY This iframe contains the logic required to handle Ajax powered Gravity Forms.