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DEPARTMENTS   »   Student and Family Services   »   Divisions   »   Student Placement   »   Online School Transfer Request Application

PER - PART A: Please Read

PART A: PLEASE READ CAREFULLY


The Student Assignment Plan allows students to attend schools outside their home attendance area if selected during the annual school selection process. 
All placements outside of the home attendance area school are based on space availability.

Transportation
Transportation is provided to the Home Attendance Area School if:

  • Elementary Schools: You reside more than 1.5 miles from the school.
  • Middle Schools: You reside more than 2.0 miles from the school.
  • High Schools: You reside in the home attendance area of: 
    1. North, South, or Northwest Magnet School AND reside more than 3 miles from that school.
    2. Burke/Northwest Dual Neighborhood Attendance Area AND attend Northwest High School.

Transportation is provided to the Transfer School if the student's placement integrates the school based on the students socioeconomic status AND:

  • Elementary Schools:  You reside more than 1 mile from the transfer school.
  • Middle Schools: You reside more than 1 mile from the transfer school
  • High Schools: You reside more than 1 mile from the transfer school

School Transfer Request

PART B: PLEASE FILL OUT THE INFORMATION BELOW

























Qualifying or Not Qualifying for Free or Reduced-Price Lunch
Please refer to the federal income guidelines for free or reduced-priced lunch for the 2009-2010 school year. "Annual
Gross Income" is the amount earned byall household members during a year before taxes and other deductions and
includes all income sources.  Your family's "Annual Gross Income" must be less than the amount corresponding to the
number of household members in order for your child(ren) to qualify for free or reduced lunch.  If left blank, Student
Applicant is presumed to not qualify for free or reduced-price lunch.

Household
Size
1 2 3 4 5 6 7 8 Each
Additional
Person
Annual
Gross
Income
 
$20,036 $26,955 $33,874 $40,793 $47,712 $54,631 $61,550 $68,469 Add
$6,919


I understand that my response regarding Free or Reduced Price Lunch qualification may be subject
to verification by Omaha Public Schools.
If I do not indicate my student's lunch status, the student is presumed not to qualify for free/reduced lunch.

CERTIFICATION & SIGNATURE
(lunch status will be randomly audited on an annual basis.)
I certify all information submitted on this application is true and accurate.

Parent / Guardian Signature:


PART C: PLEASE MARK AN "X" IN THE BOX(ES) THAT BEST DESCRIBE(S) THE REASON FOR THE REQUEST





 

PART D: PLEASE EXPLAIN THE REASON FOR YOUR REQUEST IN THE SPACE BELOW

 

Describe your reason for making the request.  When applicable, give the name, address,
and telephone number of persons in the school, the community or an agency who can verify your reasons(s). 



* 999 character limit

Submit