Within the District Transfer Form Board Policy 501.8-E

Student Information
 First & Last NameGradeBoundary SchoolRequested School
Student 1
Student 2
Student 3
Student Demographics
SexHispanicRaceDisability
FemaleMaleNoYesAsianBlack/African AmericanCaucasianNative AmericanPacific Islander2+ RacesNoYes
Student 1
Student 2
Student 3

My name below signifies that I have read Board Policies 501.8, Administrative Regulation 501.8, and 503.6.
 
I understand that, if approved, this permit will expire, if not sooner revoked, upon my student's completion of that requested boundary school, and my student will then be required to return to the next boundary school in the feeder boundary of my residence.
 
I understand that if my child is in high school and transfers to another school within the District, my child will be ineligible to compete at the varsity level for 90 consecutive school days. This applies to ALL school activities, not just athletics.
 
Parents are responsible for providing transportation for students attending a school other than the school designated for attendance (boundary school). You may apply for paid bussing (based on existing route availability) by completing a Request for Transportation form available on the District website.
 
If my reason is for childcare, my name below authorizes the childcare provider to release to the District such information about me and my child as the District may request in regard to this application.
Nondiscrimination Statement
The Sioux City Community School District is an equal opportunity/affirmative action employer. It is an unfair or discriminatory practice for any educational institution to discriminate on the basis of race, creed, color, sex, sexual orientation, gender identity, national origin, religion, age (for employment), disability, socioeconomic status (for programs), marital status (for programs), or veteran status in its educational programs and its employment practices.  Inquiries or grievances may be directed to Jen Gomez, Director of Student Services & Equity Education at 627 4th Street, Sioux City, IA 51101, (712) 279-6075, gomezj2@live.siouxcityschools.com.