INSTRUCTIONS FOR THE APPLICATION FOR OUT-OF-DISTRICT TRANSFER
Submission of this application does not imply admission into Millington Municipal Schools. You will be notified of the final
decision after review of this application. Application is located on the reverse side of these instructions.
Millington Municipal Schools offers educational and employment opportunities without regard to race, color, creed, nation origin, religion, sex, age or
disability and adheres to the provisions of the Family Educational Rights and Privacy Act (FERPA).
INSTRUCTIONS:
1. Complete the “Application for Out-of-District Transfer”.
2. Provide required documentation:
Student’s end of year report card/progress report/transcript (High School Students) that includes
attendance;
Student’s end of year discipline record (from Power School)
3.
Submit completed packet to Central Office at 5020 Second Ave. Millington, TN 38053
Criteria for out-of-district transfer as per Board Policy 6.204
Available capacity
Student must receive passing grades in all core academic subjects (English/language arts, math,
science, social studies)
Student must not have had unexcused absences totaling more than eight (8) days in any one
semester
Student must not have been suspended more than ten (10) total days
Have not had tardies and/or early check outs that are unexcused totaling more than fifteen (15)
days for the academic year
Board Policy 6.204
Students who reside out of district may submit an application to enroll in the district no later than fifteen (15) days prior to the first day of the school
year. Students who submit applications after that deadline will not be enrolled in the district without the approval of the district of residence. The
district will not accept out of district transfer applications after the last instructional day of semester one.
The director of schools shall approve the transfer prior to the student's enrollment in the district. Such transfer may be approved provided
that 1) there is available capacity as defined above, AND that 2) during the course of the academic year immediately preceding the requested transfer
year, the student shall have received passing grades in all core academic subjects (English/language arts, math, science, social studies and, if in high
school, is on track to graduate with the student’s cohort), have not had unexcused absences totaling more than eight (8) days in any one semester,
have not had tardies and/or early check outs that are unexcused totaling more than fifteen (15) days for the academic year, and have not been subject
to suspension from school for more than ten (10) total days. Subject only to the provisions of an inter-local agreement governing transfer of students,
the director shall implement the following priorities in approving the transfers:
1. First priority shall be the children of teachers employed by the district.
2. Second priority shall be students currently enrolled at E. A. Harrold Elementary, Millington Elementary, Millington Middle School, or Millingt
on
Central High School, or siblings of such current students. Sibling is defined as a brother,
sister, step-brother, step-sister, half-brother, half-sister or
foster child who lives in the same household as the student.
3. Third priority shall be students who reside out of district and neither the student nor a sibling is currently enrolled in one of the four schools named
above.
The student may remain in the school to which s/he transferred through the exit grade for that school. Until a student completes the exit grade
at the school into which s/he has been transferred under the provisions of this policy, the transfer will automatically be renewed each year. Upon
completing the exit grade for such school, parents/guardians must initiate a new application for out-of-district transfer and such application must be
approved based on all existing criteria in order for a student to continue enrollment in Millington Municipal Schools (MMS).
Any out-of-district transfer student who is admitted to the school system consistent with this policy shall be enrolled for one (1) complete
school year. If, during the course of a school year, such student no longer meets the abovelisted criteria for transfer approval, the director of
schools/designee may send notice to the parents/guardians that the out-of-district transfer will not be renewed for another school year. Such notice shall
be sent on or before June 15 following the school year during which the student fails to meet the abovelisted criteria.
When approved for an out-of-district transfer, students and/or their parents/guardians must provide transportation to and from the school.
However, such students shall not be required to pay tuition.
APPLICATION FOR OUT-OF-DISTRICT TRANSFER
Submission of this application does not imply admission into Millington Municipal Schools. You will be
notified of the final decision after review of this application.
FOR OFFICE USE ONLY
APPLICATION APPROVED
APPLICATION DENIED
GRADES
ATTENDANCE
DISCIPLINE
SPACE AVAILABILITY
Official Reviewer Signature: _______________________________________ Date: ______________________
Millington Municipal Schools offers educational and employment opportunities without regard to race, color, creed, nation origin, religion, sex, age or disability
and adheres to the provisions of the Family Educational Rights and Privacy Act (FERPA).
Please provide the following information and return the completed form to Millington Municipal Schools, Student Services, 5020 Second
Avenue, Millington, TN 38053. All fields must be completed in order for this application to be processed.
Student’s Last Name: _______________________________ First Name: ______________________________ Date of Birth: ____________
Legal Parent(s)/Guardian(s) Last Name: _______________________________ First Name: ________________________________
Phone Number: ______________________ Email: __________________________________________________________________
Street Address: ______________________________________________________________________________________________
City: ____________________________________ State: TN Zip: _________________ County: __________________________
School Last Attended Information
School Last Attended: ____________________________________ 2015 -16 Grade Level: __________________
School Phone Number: ___________________________ 2016 - 2017 School Zoned to Attend: _______________________________
Millington Municipal School Requested to Attend:
Check if served by:
Special Education
504
ESL
If Special Education, list services currently provided (ex., Co-teaching, resource, SLP, OT, etc.):
Non-resident students will be considered for attendance within Millington Municipal Schools based on the following policy (Board of Education
policy 6.204). Documentation is required for priority selection. Please indicate priority below.
Priority 1: Students of teachers employed by Millington Municipal Schools.
Priority 2: Students currently enrolled at E. A Harrold Elementary, Millington Elementary, Millington Middle, or Millington Central High, or siblings
of such current students. Sibling is defined as a brother, sister, step-brother, step-sister, half-brother, half-sister or foster child who lives in the same
household as the student.
Name of sibling: ______________________________________ Name of MMS school attending: ____________________________________
Priority 3: Students who reside out of district who do not meet priorities 1 and 2.
Parent(s)/Guardian(s) must submit the following documents with application for non-resident student
admission:
Student’s end of year report card/progress report/transcript (High School Students) that includes attendance record
Student’s end of year discipline record (from Power School)
Completed Application
I have read the district’s Non-Resident Admission Policy 6.204 and understand and agree to the terms for initial and continued
admission.
________________________________ __________________________________ ___________________
Signature of Parent/Guardian Print Parent/Guardian Name
Date
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