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Tuolumne COE |  E  5117  Students

Request For Interdistrict Attendance Appeal Hearing   

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Pursuant to Education Code 46601 and Tuolumne County Board of Education Policy 5117, you may request a hearing for the purpose appealing an Interdistrict Transfer Permit (ITP) denial. This request for Appeal shall be communicated to the County Board of Education within thirty (30) calendar days following the date of denial of the request for ITP.)

Today's Date: ________________ Date of Denial: _____________________

Parent(s)/Guardian(s)/Caregiver(s): __________________________________

Physical Address: ________________________________________________

Mailing Address: _________________________________________________

Home/Cell Phone: ________________________________________________

Work Phone: ____________________________________________________

District of Residence: _____________________________________________

District of Requested Attendance: ___________________________________

Do student(s) currently attend school in the district of residence? Yes __ No __

If no, please explain:

_____________________________________________________________________

_____________________________________________________________________

I am/we are hereby requesting that the Tuolumne County Board of Education hear an appeal of the Interdistrict Attendance denial by the _______________________School District for our child/children listed below:

Student: __________________________ Age: _______ Current Grade: ____

Student: __________________________ Age: _______ Current Grade: _____

Any other children in the home? Yes __ No __ If yes, list ages_____________

Respond to the following questions and attach additional pages, if necessary:

What reason(s) did you give for requesting an interdistrict transfer in your application to the school districts?

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

State your understanding of why the school district(s) denied your request for an interdistrict transfer.

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

State why you believe the decision(s) of the school district(s) should be set aside and changed to approve your appeal.

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

What have you done to appeal the decision to deny your request at the district level?

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

Please attach to this form the following:

1. Your transfer request

2. Any letter from your district of residence regarding your request

3. Any letters from the district you are requesting to attend

4. Any additional documentation that is pertinent to your request

I certify that this information is true and correct to the best of my knowledge

___________________________________________________

Signature of Parent/Guardian/Caregiver (please circle)

____________________________

Date

Exhibit TUOLUMNE COUNTY SUPERINTENDENT OF SCHOOLS

version: May 9, 2017 Sonora, California