Cross Boundary Request – Comox Valley Schools

Student Information

Student's Legal Name:*

First Middle Last

Student's Preferred Name:

First Last

Student's Address:*

Street Address City Province Postal Code

Student Contact Phone Number:*

Parent/Guardian Information

Home Phone Number:*

Cell Phone Number:*

Email:

School Information

Current School:*

Grade Level (Current School):*

Name of school student is requesting to attend:*

Grade Level (Next School):*

Reason for Transfer:*

Does your child receive any additional learning support at your school?*

Yes
No

Please describe the additional learning support:*

Does your child have any special medical needs that require support or any medical alerts or allergies, etc.?*

Yes
No

Please describe the special medical needs:*

Please note the name(s) and grade(s) of any sibling(s) currently attending your requested school:

Disclaimer

Parents/Guardians, please read and then check each of the following conditions:

For students whose request for transfer has been approved, transportation to and from school is a parent/guardian's responsibility. Because this policy is subject to annual review, parents/guardians need to inquire about the specific deadline for submission of this request

All cross-boundary placements are governed by Administrative Procedure 305. Once school capacity and availability of space has been determined, the district will declare the school to be: open with a defined number of spaces, or closed for cross-boundary and out-of-district applicants.

Applications submitted within the established timelines will be grouped by priority category as outlined below. This priority order does not apply to district programs such as French Immersion or to students who have been administratively transferred to schools by the Superintendent of Schools or designate: Siblings of continuing students in the school whose residence falls outside the school's catchment area, Students who will attend an academy or specialized program in their non-catchment school, Students whose residence falls within the attendance areas of other SD #71 schools, Students whose residence falls outside the SD #71 School District (out-of-district)

Confirmation:*

I confirm I have read the disclaimer

Phone

This field is for validation purposes and should be left unchanged.