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Get Temple City Unified School District Interdistrict Permit Request 2017-2024

5 grade point average while making normal academic progress toward promotion/graduation based on an A-F grading standard or an equivalent rubric score where applicable. 1 d In attending as an inter-district transfer student name of school name of student rules and regulations In order to determine if space is available Interdistrict Permit students may not be permitted to enroll until after the first day class sizes are determined. You are advised to enroll in your school of residence while awaiting a final response to your request for inter-district attendance. New Permit Renewal Release SCHOOL YEAR TEMPLE CITY UNIFIED SCHOOL DISTRICT Check only one 9700 LAS TUNAS DRIVE TEMPLE CITY CA 91780 626 548-5000 2017-2018 2018-2019 2019-2020 INTERDISTRICT PERMIT REQUEST Please complete all information and return to the District s Business Services Office. Failure to maintain a 2. 5 minimum grade point average during or at the end of final grading period will make the student ineligible for a permit for the next school year. Permits may be revoked based on not maintaining a 2. 5 minimum grade point average at any grading period. Assignments will be turned in as required and all individual class rules as established by the teacher will be followed. F. I will follow all school and District rules and regulations as outlined in the school encyclopedia/handbook. Print Parent s/Guardian s Name Parent s/Guardian s Signature Date DO NOT WRITE BELOW THIS LINE -- DISTRICT OFFICE USE ONLY DISTRICT OF RESIDENCE DISTRICT OF ATTENDANCE APPROVED DENIED Comments DENIED Signed APPROVED Rev. 1/2017 E5117. Incomplete Student Transfer Requests will not be accepted. please print Grade in Student s Name Date of Birth Age Aug. Address CityZip Home Phone Parent Work Phone Previous address if recently moved City School attended previously/currently District of Residence REQUEST PERMISSION TO ATTEND School in TEMPLE CITY Unified School District. Other/explain If for Day Care reasons please provide name address telephone number and signature of day care provider. I have read and understand the above statement and conditions and hereby declare that the information I have provided is true and correct. A. I will maintain satisfactory progress towards promotion as determined by the principal* B. Maintain at least a C 2. C. D. E* I will demonstrate satisfactory effort in all classes in accordance with teacher expectations.

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