INSTRUCTIONS:
Only the parent/guardian of the eligible student is to complete the form. **School ID is not required for submission.
Please select one: SelectNew RequestRenewal Request Please select one: SelectElementary SchoolSecondary School
The school zone in which you wish this student to attend: SelectBooker T. WashingtonBroadmoorCollege LaneCoronadoEdisonJeffersonMillsMurraySangerSouthern HeightsStoneTaylorWill RogersHeizer MiddleHighland MiddleHouston MiddleHobbs Freshman HighHobbs High
The home school zone in which you reside: SelectBooker T. WashingtonBroadmoorCollege LaneCoronadoEdisonJeffersonMillsMurraySangerSouthern HeightsStoneTaylorWill RogersHeizer MiddleHighland MiddleHouston MiddleHobbs Freshman HighHobbs HighDenver CityEuniceJalLovingtonSeminoleTatum
Student's Last Name First MI
Date of Birth MonthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberDay12345678910111213141516171819202122232425262728293031Year20192018201720162015201420132012201120102009200820072006200520042003200220012000 Gender SelectMaleFemale
Student ID** Grade SelectKindergarten (k)First (1)Second (2)Third (3)Fourth (4)Fifth (5)Sixth (6)Seventh (7)Eighth (8)Ninth (9)Tenth (10)Eleventh (11)Twelfth (12) School Year Select2019-20202020-20212021-20222022-20232023-20242024-20252025-20262026-20272027-20282028-20292029-2030
Parent's/Guardian's Last Name First MI
Home Address
Email Address
Phone Number (10 Digits only)
How would you like to be notified: SelectEmailDirect Mail
Reason For Transfer Request:
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