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Student Transfer Application

Please Fill Out The Form Below


Min: 1 Max: 5

Educational History

If the student has not exclusively attended the school district in which the student is currently enrolled, list the name of EACH school district and addressed, if known, in which the student has ever been enrolled:

Does the student have a disciplinary record for violating school regulations?

Has the student been adjudicated as a delinquent for either a violent or nonviolent offense under relevant Oklahoma law?

Has the student been convicted as an adult for either a violent or nonviolent offense as defined in relevant Oklahoma law?

Has the student committed on school property, in school transportation, or at a school event, a violent act or an act showing deliberate or reckless disregard for the health or safety of faculty or others?

Has the student possessed on school property, in school transportation, or at a school event, an alcoholic beverage; low-point beer, as defined by relevant Oklahoma law; or been involved with missing or stolen property found to have been taken from a student, school employee, or the school during school activities?

Has the student ever been removed from any school for making an electronic communication with the intent to terrify, intimidate, harass, or threaten injury or harm to faculty or other students?

If the student has been identified as a child with a disability, this district will need to review all such records to make a reasonable determination of whether the district has the facilities, programs, sta ff, and space to implement the student's current or anticipated Individualized Education Program (IEP) or Section 504 Accommodation Plan, and , if preliminary approval of a transfer is made, to conduct the statutorily-required joint IEP or Section 504 conference with the resident school district. Is the student currently, or has the student been, a child with a disability who received an IEP or Section 504 Accommodation Plan?

Do you agree to complete the Consent For Release Of Confidential Information, allowing this district to review all educational records of the student from all previous schools attended by the student?

It is the policy of the Atoka Board of Education to provide equal opportunity in all its operations and to assure that there shall be no discrimination against any student or applicant on the grounds of age, race, religion, sex, color, national origin, ancestry, or handicapping conditions. This form will serve as your request to be considered for an open transfer into Atoka Public Schools. The submission of this form is not a promise of approval. By signing your name below, you do hereby certify that to the best of your knowledge all of the facts and statements contained in this form are correct and true. You understand that if you are considered for an Open Transfer, falsified statements on this form shall be considered sufficient grounds for denial.


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