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Please Note: Parents have three opportunities to transfer an eligible student from a public school to an authorized private school by the following dates for the 2014 – 2015 school year: Sept. 15, Dec. 15, and March 4, 2015. Read "Understanding the Program" document posted on the web page for further instructions.

Fields marked with an asterisk (*) are required.
*School Year:2014-2015
*System:
*School:
*First Name:
*Last Name:
*Date of Birth:(mm/dd/yyyy)