TRAVIS UNIFIED SCHOOL DISTRICT Interdistrict Attendance Agreement Request 2751 De Ronde Drive Student Services Fairfield, CA 94533 (707) 437-4604 x1114 2018-19 School Year INTERDISTRICT ATTENDANCE (IDA) REQUEST INFORMATIONAL PACKET Request Process: In order to process your request, the following steps must be completed: 1. IDA Release: Obtain a release from your resident school district by contacting the Student Services office at the school district where you live. (Fairfield-Suisun (707) 399-4325 / Vacaville (707) 453-6137) 2. Complete IDA Request: Complete the attached Interdistrict Attendance (IDA) Agreement Request. Please see attached AR 5117 to view the Governing Boards established priorities. 3. Report Card or Transcript: Attach a copy of the most recent report card (TK-8) or transcript (9-12) unless the student is currently enrolled in a Travis USD school. 4. Return the completed request form to the Student Services department, cseverns@travisusd.org,travis USD, 2751 De Ronde Drive, Fairfield, CA 94533. Timeline: Upon receipt of your completed request form, a lottery will take place and you will be notified of your students status within 30 days. IDA Requests will be accepted as follows. New IDA Requests submitted between the first Monday in February and the first Friday in March All requests submitted during this time period will be placed in a lottery and assigned an order based on grade and school. Students will be approved based on space availability at each school site and grade level. Those not approved will be placed on a wait list in order as established in the lottery. Current students, children of Active Duty Military and children of employees of the Travis Unified School District will receive priority based on space availability. New IDA Requests submitted after the first Friday in March All requests submitted will be placed on a wait list in the order submitted Current students, children of Active Duty Military and children of employees of the Travis Unified School District will receive priority based on space availability. Note: We cannot guarantee you will be notified by the first day of school. Please have your student attend their school of residence until otherwise notified by Travis Unified School District. Conditions: New Students: The district may deny Interdistrict requests due to limited district resources, overcrowding of school facilities at the relevant grade level or other considerations that are not arbitrary. Continuing Students: Annual Review: The Agreement for Interdistrict Attendance (see back side) will be reviewed annually for compliance to determine if IDA will be renewed for the upcoming school year. Continuing Students: IDA shall not to exceed a term of 5 years If approved, each student attending is expected to comply with the IDA Agreement (see reverse side) and will be reviewed annually for compliance. Students who comply with the IDA agreement may receive an automatic renewal not to exceed five years. Non-compliance will result in the IDA being non-renewed. The IDA application process must be repeated every five years regardless of your status. If you have any questions about the IDA process, please feel free to contact the Student Services office at (707) 437-4604 x1114 for assistance.
AGREEMENT FOR INTERDISTRICT ATTENDANCE IN THE TRAVIS USD Student Name: I/We have applied for permission to attend a school in the Travis USD under the procedures set forth in Education Code 46600-46610. If the district approves such a request, it will be approved under the following conditions. Academics: Maintain satisfactory grades/credits at all times, during each grading period, remain on track to graduate on schedule. Deficiency in credits would be a reason to discontinue an IDA. Attendance: Maintain a consistent pattern of attendance and punctuality as required by school district policy and individual school requirements, including those set forth in the student handbooks. Truancy or excessive absences or tardies would be a reason to discontinue an IDA. Behavior: Follow all school district and individual school rules and class guidelines, including any set forth in student handbooks. Suspensions or an Expulsion would be a reason to discontinue an IDA. Transportation: The parent/student will be responsible for providing her/his own transportation to and from school and must arrive at and depart from school according to the time schedules outlined by the school in their student handbook. School of Attendance: The district reserves the right to transfer IDA students between schools if space is not available at a given site. I/We (Parent and Student) have read the above terms and conditions and agree that I/we are bound by them and are expected to meet all of the above criteria. I/We understand that the permission of the student to attend school in Travis USD will be revoked for failure to meet the requirements set forth herein. I/We declare under penalty of perjury under the laws of the State of California that all of the information on this application is true and correct and I/we understand that any willfully inaccurate information provided in this application will be grounds for immediate denial or revocation of the Interdistrict Attendance Agreement. Name/Signature: Parent Copy / Original Submitted (Parent / Guardian Name and Signature) Date: / / Name/Signature: Student Copy / Original Submitted (Student s Name and Signature) Note: Parent may sign for student but takes the responsibility of reviewing the contract with their child. Date: / /
ADMINISTRATIVE REGULATION (AR) 5117 The Travis USD Governing Board policy (AR 5117) states that in exercising discretion whether to grant or deny any interdistrict transfer request, the Superintendent or designee may approve a request based on space availability listed in priority of placement. 1. Currently approved interdistrict students who are re-qualified each year under the district s current criteria. 2. To allow the student to remain with the highest-grade level from an elementary, middle or senior high school even if their family moved out of the district during the previous year, if the student is meeting the qualification criteria for continuation a. 6 th grader to attend the same school they attended as a 5 th grader for elementary school. b. 8 th grader to attend the same school they attended as a 7 th grader for middle school. c. 12 th grader to attend the same school they attended as a 11 th grader for senior high school. 3. To a sibling who has a brother(s) or sister(s) attending school in the district, to avoid splitting the family s attendance. 4. To allow the student to complete a school trimester, semester or year when her/his parents/guardians have moved out of the district during that year. 5. To children whose parents/guardians are Active Duty Military. 6. To the children of employees of Travis Unified School District. a. Once a student has been admitted to the district on the basis of employment, continued enrollment may be denied only when based on restrictions specified in Education Code 48204 or if employment within the district ceases; in which case the parents/guardians have 30 days or until the end of the trimester (elementary) or semester(secondary) of the school of attendance, whichever comes first, to enroll their child(ren) in her/his home district. 7. When the parent/guardian provides written evidence that the family will be moving into the district in the immediate future and would like the student to start the year in the district. 8. When the student will be living out of the district for one year or less. 9. When recommended by the school attendance review board or by county child welfare, probation, or social service agency staff in documented cases of serious home or community problems which make it inadvisable for the student to attend the school of residence 10. To consider other requests on an individual basis with concurrence of site principal and Superintendent or designee. 11. When the student has been determined by staff of either the district of residence or district of proposed attendance to be a victim of an act of bullying as defined in Education Code 48900. Such a student shall be given priority for interdistrict attendance under any existing interdistrict attendance agreement or, in the absence of an agreement, shall be given consideration for the creation of a new permit. (Education Code 46600) The Superintendent or designee may deny initial requests for interdistrict attendance permits due to limited district resources, overcrowding of school facilities at the relevant grade level or other considerations that are not arbitrary. However, once a student is admitted, the district may not deny her/him continued attendance because of overcrowded facilities at the relevant grade level.
TRAVIS UNIFIED SCHOOL DISTRICT Interdistrict Attendance Agreement Request 2751 De Ronde Drive Student Services Fairfield, CA 94533 (707) 437-4604 x1114 2018-19 School Year Date: / / STUDENT INFORMATION (for 2018-19): Student s Legal Name: (as it appears on the Birth Certificate) Last First Middle Incoming Grade (2018-19) SCHOOL PLACEMENT REQUEST (Grades TK-6 only): (Please mark / rank which school(s) you are requesting) Cambridge # Center # Foxboro # Scandia # Travis # REASON FOR REQUEST The Travis Unified School District Governing Board has established a priority list for the placement of students. Please mark any item that applies to your student (see attached AR 5117 for more information): NEW INTERDISTRICT ATTENDANCE (IDA) REQUEST Parent/Legal Guardian of the student is Active Duty Military Parent/Legal Guardian of the student is an Employee of Travis USD Student requesting to attend the highest-grade level at their school (grades 6, 8 or 12) Sibling of a student currently attending a Travis USD school Other Requests: (Please feel free to attach additional information if needed) CONTINUING STUDENT Parent/Legal Guardian of the student is Active Duty Military Parent/Legal Guardian of the student is an Employee of Travis USD Student requesting to attend the highest-grade level at their school (grades 6, 8 or 12) Sibling of a student currently attending a Travis USD school Mid-Year: Recently moved out of Travis USD attendance boundaries and would like to complete the trimester (elementary), semester (secondary) or school year (Must apply as a new IDA for the following school year) Reason: New / Continuing ADM / TUSD Employee (Circle if Applicable) FOR OFFICE USE ONLY Proof of Employment Y / NA Report Card/Transcript Y / NA Release Y IEP/504 Y/NA Request Granted: Request Denied: Place on Wait List: Request Granted 18/19 only: Assigned School: Expiration Date: Notes: / / / / / / Director, Special Education Director, Student Services School Administrator
TRAVIS UNIFIED SCHOOL DISTRICT Interdistrict Attendance Agreement Request 2751 De Ronde Drive Student Services Fairfield, CA 94533 (707) 437-4604 x1114 STUDENT INFORMATION (for 2018-19): Student s Legal Name: (as it appears on the Birth Certificate) Last First Middle Suffix Gender: M F Birth Date: / / Birth Date: / / Age: Incoming Grade (2018-19): Most Recent School of Attendance: Name City State Sibling/s: Name Age Grade Most Recent School Name Sibling/s: Name Age Grade Most Recent School Name PARENT / GUARDIAN INFORMATION: Please indicate with whom the student lives: Primary contact number: Guardian / Father / Other Name: Address: City: Zip: Home Phone: Cell Phone: Work Phone: Guardian / Mother / Other Name: Address: City: Zip: Home Phone: Cell Phone: Work Phone: PLEASE ANSWER EACH OF THE FOLLOWING QUESTIONS ABOUT STUDENT: (if yes, answer when and where) Question No Yes When: Where: Previously attended TUSD Academic Performance Problems Attendance Problems Suspension(s) Expulsion(s) Grade Repeated Special Education-IEP / 504 (attach current copy) Alternative Education Program (Continuation School / County Day School / Opportunity Class) Participated in sport(s) against other schools or extracurricular activities the previous school year
AGREEMENT FOR INTERDISTRICT ATTENDANCE IN THE TRAVIS USD Student Name: I/We have applied for permission to attend a school in the Travis USD under the procedures set forth in Education Code 46600-46610. If the district approves such a request, it will be approved under the following conditions. Academics: Maintain satisfactory grades/credits at all times, during each grading period, remain on track to graduate on schedule. Deficiency in credits would be a reason to discontinue an IDA. Attendance: Maintain a consistent pattern of attendance and punctuality as required by school district policy and individual school requirements, including those set forth in the student handbooks. Truancy or excessive absences or tardies would be a reason to discontinue an IDA. Behavior: Follow all school district and individual school rules and class guidelines, including any set forth in student handbooks. Suspensions or an Expulsion would be a reason to discontinue an IDA. Transportation: The parent/student will be responsible for providing her/his own transportation to and from school and must arrive at and depart from school according to the time schedules outlined by the school in their student handbook. School of Attendance: The district reserves the right to transfer IDA students between schools if space is not available at a given site. I/We (Parent and Student) have read the above terms and conditions and agree that I/we are bound by them and are expected to meet all of the above criteria. I/We understand that the permission of the student to attend school in Travis USD will be revoked for failure to meet the requirements set forth herein. I/We declare under penalty of perjury under the laws of the State of California that all of the information on this application is true and correct and I/we understand that any willfully inaccurate information provided in this application will be grounds for immediate denial or revocation of the Interdistrict Attendance Agreement. Name/Signature: Date: / / (Parent / Guardian Name and Signature) Name/Signature: Date: / / (Student s Name and Signature) Note: Parent may sign for student but takes the responsibility of reviewing the contract with their child.
Affidavit of Employment If parent / guardian is an Active Duty Military or an Employee of Travis Unified School District, the following Affidavit of Employment must be completed, signed, and proof of employment must be provided as follows: Active Duty Military I,, declare as follows: I am the parent / legal guardian of the student on this application who is school age and is seeking admission to the Travis Unified School District. I understand that the Travis USD governing board has established students of Active Duty Military as a priority for placement in the Travis USD. I am an Active Duty Military employee. I understand and agree to all of the terms and conditions of the Interdistrict Attendance agreement. Proof of Employment for Active Duty Military (one of the following required): Orders Statement of Service from Employer Leave and Earning Statement (showing your name and employer s address) I declare under penalty of perjury under the laws of the State of California that the forgoing is true and correct. Name/Signature: Date: / / (Parent / Guardian Name and Signature) Employee of Travis Unified School District I,, declare as follows: I am the parent / legal guardian of the student on this application who is school age and is seeking admission to the Travis Unified School District. I understand that the Travis USD governing board has established students of employees working for Travis USD as a priority for placement in the Travis USD. Employee does not include substitute, temporary or short-term employees. I am an employee of Travis USD working at Site / Department: I understand that once a student has been admitted to the district on the basis of employment, continued enrollment may be denied only when based on restrictions specified in Education Code 48204 or if employment within the district ceases; in which case the parents/guardians have 30 days or until the end of the trimester (elementary) or semester (secondary) of the school of attendance, whichever comes first, to enroll their child/children in her/his resident district in which case the parent needs to enroll their child in their resident school district. I understand and agree to all of the terms and conditions of the Interdistrict Attendance agreement. Proof of Employment for Employees of Travis USD (required) Student Services will contact Human Resources. Status: (Staff Use) I declare under penalty of perjury under the laws of the State of California that the forgoing is true and correct. Name/Signature: Date: / / (Parent / Guardian Name and Signature)