CARROLL COUNTY PUBLIC SCHOOLS 605-9 PINE STREET HILLSVILLE, VIRGINIA Telephone: (276) 728-3191 (276) 730-3200 (276) 236-8145

Fax: (276) 730-3210

APPLICATION FOR ADMISSION AS A NON-RESIDENT STUDENT For School Year Student’s Name LAST

FIRST

Date of Birth

MIDDLE Age

MONTH

DAY

Male

Female

YEAR

Name of Parent(s) or Legal Guardian(s) Current Legal Address (911) Mailing Address Home Telephone

Work Telephone

Cell Phone

County/City In Which You Reside Name, Address, and Telephone Number of School Last Attended By Student:

Sibling(s) Currently Enrolled in Carroll County Public Schools (List Sibling(s) Name(s), School(s) and Grade(s) Currently Attending):

Reason for Leaving Previous School:

If the Student Has Been Enrolled in Any Special Education Programs in the School(s) Last Attended, Please specify:

Carroll County School Requesting to Attend:

Grade:

Why Are You Applying for Transfer?

I certify that the information in this application is true and accurate to the best of my knowledge and that I have been provided, read, understood, and signed the Student School Assignment Guidelines.

Date

Signature of Parent/Guardian

I affirm that the above name student has not been suspended or expelled from school attendance at a private or public school nor has been assigned to any correctional facility or placed on probation by the court system.

Date

Signature of Parent/Guardian

OFFICE USE ONLY Approved Superintendent/Designee Not Approved Date

Comment (OVER)

REVISED 03/13/18

CARROLL COUNTY PUBLIC SCHOOLS STUDENT SCHOOL ASSIGNMENTS SCHOOL BOARD POLICY: JCD NON-RESIDENT STUDENT TRANSFERS NON-RESIDENT STUDENT TRANSFER REQUESTS ATTENDANCE ZONE TRANSFERS WILL BE CONSIDERED FIRST (Policy JCC: Attendance Zone Transfers). Consideration of a request to register a non-resident student from another school division in Virginia is contingent upon the following: 1.

Completion of an APPLICATION FOR ADMISSION AS A NON-RESIDENT STUDENT. Applications must be returned to the Office of the Division Superintendent by MAY 1ST for the upcoming school year and priority will be given to request in the order of which they are received. Permission for non-resident students to attend Carroll County Public Schools is granted only by the division superintendent. Nonresident students cannot be enrolled in Carroll County Public Schools unless the parent/guardian has applied for and been granted permission by the division superintendent.

2.

Availability of space in the grade level and/or program which is indicated by current placement. Acceptance and/or continued enrollment of a non-resident student will not require the initiation of a new program, the employment of additional personnel, the alteration of existing facilities, or the payment of special services beyond those provided in the Carroll County Public Schools. The approval of a non-resident student application will be subject to maintaining available space in a grade level/program for students who may move into the attendance area.

3.

Continued enrollment of a non-resident student is subject to annual review. All non-resident student applications will be subject to renewal on an annual basis. Applications must be received in the Office of the Superintendent within the designated timeline otherwise the application will be processed as a new request. Continued placement in a Carroll County School by a non-resident student will be contingent upon available space, programs, discipline, and school attendance including tardies and early dismissals. Students are subject to all policies, regulations, and guidelines of the school division and the Carroll County Public Schools Student Handbook. Notification of approval will be on an annual basis.

4.

The superintendent may grant transfers to non-resident students whose parents are CCPSD employees and who request student admission and transfer consideration for their children if space is available in the requested school.

5.

Evidence of satisfactory school behavior, academic progress and school attendance in the previous school division that the student attended will be taken into consideration by the superintendent when approving/disapproving non-resident transfer requests.

6.

The superintendent will approve or deny non-resident student applications based upon a review of the application, recommendation by school principal or others as necessary, and the availability of space and/or programs.

7.

Approval of non-resident student status may be revoked. Non-resident students would be expected to return to the school division in which they reside when their enrollment creates any of the conditions described above in numbers two and three. Transfer to another school in Carroll County is subject to the same approval process.

8.

Transportation of non-resident students is the responsibility of the parent or guardian. Non-resident transfer students may board a bus at a bus stop that serves the school they have been approved to attend.

9.

Any transfer request that is received and/or approved based upon false or misleading information will be declared void and the transfer will be rescinded.

10. The superintendent reserves the right to remove the privilege to attend Carroll County Public Schools. 11. Failure to meet any of the above criteria will result in an immediate removal from Carroll County Public Schools.

_____________________ DATE

___________________________________ Signature Parent or Guardian

OUT OF STATE STUDENT REQUESTS Consideration of a request to register a non-resident student from another state is contingent upon the following: 1.

All criteria set forth in aforementioned non-resident guidelines of student school assignments.

2.

Payment of any applicable tuition charges prior to enrollment and before receiving a class schedule or homeroom assignment.

3.

If, for any reason, the parent does not remit tuition within the prescribed time limit, the approval for transfer may be rescinded. If payment is not made, determination for future enrollment as a transfer student will be denied.

_____________________ DATE

___________________________________ Signature Parent or Guardian ADOPTED:

03/13/18