Form JBCD-3
REQUEST TO COMPLETE SEMESTER
(Move Out of District)
School:
Semester:
The Cobb County School District (District) does not accept tuition students. However, any student who ceases to be a resident of the
District after attending a District school may apply to complete the CURRENT SEMESTER in that school.
Pursuant to Administrative Rule JBCD-R (Transfers), the following student has applied to complete the current semester. For students
approved to remain enrolled for the current semester the following provisions apply:
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The parent/guardian must promptly report to the principal or designee any change in circumstances by which the student is
no longer a resident of the District;
Transportation for students approved to complete the semester must be provided by the parent/guardian;
Acceptable attendance, behavior and grades are required in order for the student to be approved and remain on transfer;
The parent/guardian is expected to maintain a cordial and cooperative working relationship with school personnel;
Failure to comply with any provisions of this paragraph shall authorize the principal to immediately withdraw such student;
and
If the student transfers at the high school level, he/she must meet Georgia High School Association requirements to
participate in competitive interscholastic activities.
This application must be fully completed.
PLEASE PRINT OR TYPE
Student Name:
One form per student
Student ID #:
(can be found on report card & progress reports)
Date of Birth:
Grade:
Age:
Gender:
Parent/Guardian Name:
Current In-District Address:
Apartment Complex Name:
City:
Apartment Number:
Zip:
New Out-of-District Address:
Apartment Complex Name:
City:
Phone: Home:
Date of Move:
Apartment Number:
Zip:
E-mail:
Cell:
(documentation required)
Parent/Guardian Signature:
Date:
PLEASE DO NOT WRITE BELOW THIS LINE
SCHOOL USE ONLY
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Approved
Denied
Principal Signature:
Date:
Original: To be filed in student record
7/1/16: Student Support
Copy: To be sent to Student Support
*JBCD-3*
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