Application - Insights

Student Information

First Name *

Middle Name

Last Name *

Date of Birth *

Gender *

Address *

City *

State

Zip Code *

Parent/Guardian Information

Parent/Guardian Name *

Primary phone number *

Alternate phone number

Requested School Information

School year for which you are requesting a transfer *

Grade student will be in during the school year requested *

School of residence or home school * Click here to find school of residence.

School requested *

Requested school name

School district requested *

Current School Information

Current or last school attended

Non-GGUSD school name

Student ID

Current or last school district attended

Transfer reason

What is the primary reason for the transfer request? *

Child Care [Name, address and phone of child care provider] Continue at current school until the completion of this school year Junior/Senior Privilege [Student is entering 11th or 12th grade] Location of Employment [Only if employment address is within the District boundaries of the school requested] Parental choice [School of preference] Sibling [Must be at the same school as requested] Specialized Program [please specify] Update school transfer request [Renewal]

What special services does the student currently recieve? (check all that apply)

Gifted (GATE)

Section 504

Speech/Language

Special Education

If student is receiving Special Education Services, what is their current placement?

Resource (RSP) Non-Public School (NPS) Mild Moderate/Moderate Severe (MM/MS) Other (please specify)

Is the student currently pending disciplinary action or under school expulsion order?

No

Yes (please explain)