
Standard Elementary SD | E 0520.2 Philosophy, Goals, Objectives and Comprehensive Plans
Title I Program Improvement Schools
Exhibit 1
PARENT/GUARDIAN TRANSFER REQUEST BASED ON
SCHOOL'S PROGRAM IMPROVEMENT STATUS
Instructions: To request a transfer for your child out of a school that has been identified for [program improvement, corrective action or restructuring], please complete the following form and return it by [date] to [the district office or to the principal at your child's school]. You will be notified by [date] regarding your child's school assignment for the next school year and your options if you decide to decline the school assignment at that time.
Child's Name: ______________________________________________________________
Parent/Guardian's Name: __________________________Signature: ___________________
School Child Currently Attends: ________________________________________________ Please write numbers in the boxes below to rank your top [number] choices of available schools:
[ ] __________________________[school name]__________________________
[ ] __________________________[school name]__________________________
[ ] __________________________[school name]__________________________
If you have any questions, please contact the [district office or principal] at [phone number].
Exhibit STANDARD SCHOOL DISTRICT
version: October 12, 2010 Bakersfield, California
___________________________________________________________________________
Exhibit 2
TITLE I PROGRAM IMPROVEMENT SCHOOLS
PARENT/GUARDIAN SELECTION OF
SUPPLEMENTAL EDUCATIONAL SERVICES
Instructions: To select supplemental educational services for your child, please complete the following form and mail, fax, or deliver it to the principal of your child's school or to the district office by [date].
Student's Name: ___________________________ School: ___________________________
Parent/Guardian's Name: ____________________ Signature: ________________________ Please write numbers in the boxes below to indicate your top [number] choices of service providers:
[ ] ______________________[name of service provider]__________________________
[ ] ______________________[name of service provider]__________________________
[ ] ______________________[name of service provider]__________________________
[ ] ______________________[name of service provider]__________________________
Once a service provider has been determined for your child, the district will enter into a formal contract with the provider in accordance with law.
If you have any questions or need assistance selecting a provider, please contact [name] at [phone number].
Exhibit STANDARD SCHOOL DISTRICT
version: October 12, 2010 Bakersfield, California