Elementary and Middle School Application for Special Attendance Permit

Elementary and Middle School Application for Special Attendance Permit

All transfer requests will require the approval of the director of student services.

Students who are new to Lincoln Public Schools must complete online enrollment for the school of their designated enrollment area before a transfer will be considered. New to Lincoln Public School students are expected to attend their assigned school until they have been notified the request has been granted, and a start date has been provided by the approved school.

Current students are expected to attend the school where they are enrolled until they have been notified their request has been granted, and a start date has been provided by the approved school.

Approved transfer requests are expected to remain in effect for an entire school year. (Important Information Booklet)

Parents or guardians bear full responsibility for transportation of students in cases when a special permit has been approved. (Policy 5121)

A special attendance permit, once approved, remains in effect as long as the student is living at the address listed on the application and is enrolled in that school. The permit may be revoked if the student’s attendance is unsatisfactory. The Department of Student Services may further revoke a permit for reason of such misconduct or if it is judged to be in the child’s best interest. (Policy 5121)

When transfer requests are filed within the established deadline and are denied, appeals are permitted. Appeals must be made in writing within 14 days after the applicant’s receipt of a written notice of denial. (Policy 5121)

Address changes and contact information must be updated with the registrar of the school where the student is currently enrolled before a permit will be processed.

Notification of the transfer request decision will be sent to the email on file in our system.

School Year*

Select

Transfer On*

Please enter the date you would like to start at the permit school.

Select

Transfer Date

Student Information

Student Last Name*

Student First Name*

Student Middle Initial

Student ID

Birthdate*

Current Grade*

Select

Current School*

Select

Student Current Address*

Include Street, City, State, and Zip Code

K-8 Permit Grade*

Select

K-8 Permit School*

Select

Permit Reason*

Select

Permit Reason - Other Selected*

Please enter information as to why you are applying for this permit.

Parent/Guardian Information

Parent/Guardian First Name*

Parent/Guardian Last Name*

Relation to Student*

Select

Parent/Guardian Email*

Parent/Guardian Phone Number*

Phone

Parent/Guardian has same address as Student

Parent/Guardian Current Address*

Include Street, City, State, and Zip Code

Parent/Guardian 2 Last Name

Parent/Guardian 2 First Name

Parent/Guardian 2 Email

Parent/Guardian 2 Phone Number

Phone

Parent/Guardian has same address as Student

Parent/Guardian 2 Current Address

Include Street, City, State, and Zip Code

By affixing (typing in) my electronic signature to this electronic record below (either type your name or insert a scan of your signature) and emailing this electronic record to LPS, I agree and consent to conduct this transaction involving governmental affairs with LPS by electronic means pursuant to the Nebraska Uniform Electronic Transactions Act. I understand that I am not prohibited from refusing to conduct other or future transaction(s) with LPS by electronic means.

Parent/Guardian Signature*

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