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Board of Education
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California Assessment of Student Performance and Progress (CAASPP)

Intra District Permit

Use this form to request to change schools within the District.

IIS Windows

Student Information

Student Name
                                 First Name                            
Birth Date (MM/DD/YYYY)  

Home School

Parent Information

Parent Name:
                                    First Name

Home Phone Number

Request Information

I am requesting for my student be permitted to attend what school?


My reasons for making this request are?

I prefer to meet with the principal in the?


1.                  The parent assumes full responsibilities for providing transportation.

2.                  This agreement expires at the close of the current school year.

3.                  This permit may be canceled if over-crowding occurs at the school.

4.                  This permit may be canceled immediately for one of the following reasons:

·         Falsification or misrepresentation of information on this form.

·         Truancy or behavioral problems.

·         Lack of academic achievement.