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Request for Special Assignment

The information collected in this form will be reviewed by both building principals and the assistant superintendent. After the Special Assignment request has been reviewed by the assistant superintendent, a final decision will be sent to the parent(s)/guardian(s) and both building principals.

Student Information

First Name

Last Name

Is this student currently on special assignment?

N/A

Current Grade Level:

Resident School:

School Year

Requested School

Requested Grade Level

Reason for Request (max 4000 characters)

0 characters

Parent/Guardian Information

If this address does not match what is currently in Infinite Campus, please contact the office staff at your child's current school. Discrepancies will delay the Special Assignment process.

First Name:

Last Name:

Address

City

Zip

Phone Number

Terms and Conditions for Special Assignment

Approval is valid only for the school year granted.
Approval may be revoked for unsatisfactory academic performance, attendance, and/or behavior.
Transportation is not provided.
Approval is subject to space availability.
Approval could affect high school eligibility in regards to Athletics/Activities per MSHSAA transfer requirements.

I understand and accept the terms and conditions listed above and verify that all of my information is correct.

YES