Editing previous response:

Please fix the highlighted areas below before submitting.

Intra-District Transfer Application 2022-2023

Please complete the form below. Required fields marked with an asterisk *

**IMPORTANT

This transfer application is for the 2022-23 school year .

**IMPORTANTE

La solicitud de transferencia para el año escolar 2022-23 .

PLEASE COMPLETE ONE APPLICATION PER FAMILY

FAVOR DE COMPLETAR UNA SOLICITUD POR FAMILIA

An intra-district transfer/open enrollment application is required if the parents/guardians wish to register/admit/enroll their student(s) at a school other than the designated school that is in their attendance area within the Pomona Unified School District.

Una solicitud de transferencia dentro del distrito/inscripción abierta se requiere si los padres / tutores desean registrarse/admitir/inscribir a sus estudiantes en una escuela que no sea la escuela designada que se encuentra en su área de asistencia dentro del Distrito Escolar Unificado de Pomona.

PARENT-GUARDIAN/PADRES-TUTORES

Parent/Guardian (Padre/Tutor)*

Answer Required

Phone number/Numero de telefono*

Number Required

Street Address*

Answer Required

City*

Answer Required

Zip/Postal*

Answer Required

Attention: Transportation will NOT be provided

Atención: Transporte NO se proporcionará

If applicant is employed within Pomona Unified School District please provide employers name and address.

Answer Required

If you are a District employee, please indicate your work location.

Answer Required

If the applicant has a sibling who is currently attending the 1st school choice, please provide the siblings name:

Last Name

Answer Required

First Name

Answer Required

Student ID

Answer Required

Si el solicitante tiene hermano/a que actualmente asiste la primera escuela que desea, por favor escriba el nombre:

Answer Required

CHILDREN/NIÑOS

Student #1

Student Last Name/Apellido del Estudiante:

Answer Required

Student First Name/Nombre del Estudiante

Answer Required

Student ID Number/Numero de ID del Estudiante:

Answer Required

Date of Birth

Answer Required

Grade for the 2022-2023 School Year/Grado para el Año Escolar 2022-2023:

Answer Required

Student #2

Student Last Name/Apellido del Estudiante:

Answer Required

Student First Name/Nombre del Estudiante

Answer Required

Student ID Number/Numero de ID del Estudiante:

Answer Required

Date of Birth/Fecha de Nacimiento

Answer Required

Grade for the 2022-2023 School Year/Grado para el Año Escolar 2022-2023

Answer Required

Student #3

Student Last Name/Apellido del Estudiante:

Answer Required

Student First Name/Nombre del Estudiante

Answer Required

Student ID Number/Numero de ID del Estudiante:

Answer Required

Date of Birth

Answer Required

Grade for the 2022-2023 School Year/Grado para el Año Escolar 2022-2023

Answer Required

Instructions for Registration

Please Submit ONE APPLICATION PER FAMILY.
Additional applications can be submitted online.
List your school of choice.
Applications will be date and time-stamped when submitted.
Submission of an application is not a guarantee of placement. Placement is contingent on space availability for each grade at each school.
A student's transfer request may be affected if they are receiving Special Education Services.

Instrucciones de Registro

Por favor entregue UNA SOLICITUD POR FAMILIA.
Solicitudes adicionales pueden ser enviadas en lines.
Apunte su selección de escuela que desea.
Las solicitudes serán marcadas con la fecha y hora en que fueron recibidas.
Presentación de una solicitude no es una garantía de colocación. Colocación depende de la disponibilidad de espacio para cade grado en cada escuela.
Solicitud de transferencia del estudiante puede verse afectada si están recibiendo Servicios de Educación Especial.

Confirmation Email

Confirmation Email *

Email Required