Circle Elementary Request for District Building Assignment
In district application to attend a school within the district but out of the boundary for attendance. Transportation will not be available.  
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Requested School Term Year *
Requested School Location *
Student's full name *
Student's date of birth *
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Student's current grade *
Current Address ( Lawful Custodian) *
Reason for Request *
If childcare, please provide Childcare Providers name and complete address *
If other, please explain below *
If other, please explain below *
Special Assignments are considered a privilege and certain conditions must be met in order for the assignment to not only be approved, but also continue throughout the school year. and must be updated and approved every school year.                    
Transfers are contingent on the following:                                            
1. Students approved for special assignment must provide their own transportation.                                                                                
2. The student must have good attendance, behavior and academic performance (grades).                                                          
3. Classroom space is available at the requested school.                
4. All personal information must be kept accurate and up to date with the school office.                                                                                    
5. A special assignment is only valid for the current school year
6. Parents must be responsive and supportive of the child's teachers and school.
7. Must have building requested administrative approval.
Parent/Guardian Name *
Date of application *
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