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EL DORADO UNION HIGH SCHOOL DISTRICTLess Impacted School Transfer RequestIncoming 9th grade students for the 2019/20 school year may submit a Less Impacted School Transfer Request in accordance with El Dorado Union High School District’s Administrative Regulation 5116.2 for transfers:From Oak Ridge High School to: Ponderosa, El Dorado or Union Mine High Schools.From Ponderosa High School to: El Dorado or Union Mine High SchoolsThe Less Impacted School Transfer Request form may also be accessed at the El Dorado Union High School District Office and submitted for signature to the District Office, attention Student Services Department, 4675 Missouri Flat Road, Placerville, CA 95667. Any questions, please call (530) 622-5081 ext. 7229Less Impacted School Transfer Request forms should be submitted between January 7, 2019 and April 30, 2019 for the 2019/20 school year.Name of student entering high school in 2019/20:Current Grade Date of Birth Current School Name of student entering high school in 2019/20 Current Grade Date of Birth Address of residence High School of ResidenceOak Ridge HS ? Ponderosa HS ?High School requested: El Dorado HS ? Ponderosa HS ? Union Mine HS ?Home Phone: Work Phone: Cell Phone: Note: Parents will be responsible for providing transportation to and from the school requested, should a Less Impacted School Transfer be granted. _________________________________________________Parent Name (Print) Parent Signature DateDO NOT WRITE BELOW THIS SPACE – FOR SCHOOL AND DISTRICT OFFICE USE ONLYAuthorized SignatureX____________________________________________________Chuck PalmerSenior Director of Student Services and InnovationApproved □ Denied □Date: ___________ ................
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