Form Ss Se 252 PDF Details

Understanding the complexities of student transfer due to child care requirements can be challenging for parents and guardians navigating the educational system. The Ss Se 252 form plays a pivotal role in this process, acting as a critical document for those seeking a school transfer for their child based on child care needs. This affidavit is intended exclusively for elementary students from kindergarten through sixth grade, emphasizing the necessity of aligning child care provider locations with the desired school's boundaries. Completing the form demands attention to detail, requiring information about the child care provider, documentation of attempts to secure care within the base school's boundaries, and a firm commitment to honesty, as any false information could lead to severe legal consequences. Equally, it mandates ongoing communication with the school administration should any provided information change during the school year. The form, which necessitates notarization, reinforces the partnership between parents, child care providers, and schools in ensuring the well-being and suitable education environment for students.

QuestionAnswer
Form NameForm Ss Se 252
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namestransfer child, transfer of vehicle to child, fcps transfer request, fcps transfer form

Form Preview Example

AFFIDAVIT FOR STUDENT TRANSFER CHILD CARE REQUESTS

(ELEMENTARY ONLY)

SCHOOL YEAR

This form is required documentation for all child care student transfer requests K-6 only (Forms SS/SE-222 and SS/SE-223). The child care provider must be located within the requested school boundaries and parents or guardians must show hardship in obtaining child care in the base school boundaries. Full-time, before and/or after school child care is needed for student transfer consideration. Be sure to fill in all sections or enter "N/A" in sections not applicable. FCPS staff will verify information provided.

I. THIS SECTION TO BE COMPLETED BY THE ORGANIZATION OR INDIVIDUAL PROVIDING CHILD CARE

Name of Person or Organization

Relationship to Child

Current Grade Level

Address

City

State

Zip

Phone Number

I hereby certify that (I) (we) have agreed to provide regular child care services for

 

 

 

 

Name of Child

 

 

as follows: From ________a.m. to ________ p.m. on the following week days:

 

 

 

 

 

 

 

 

 

 

 

 

Remarks:

 

 

 

 

Signed

 

 

 

 

 

 

 

 

Name of Individual

Title, If Applicable

Date

II. THIS SECTION TO BE COMPLETED BY PARENT OR LEGAL GUARDIAN

Use this section to document attempts made to secure child care in the base school boundaries. Attach additional documentation if necessary.

1. Provider Name

 

 

 

Phone Number

 

 

 

 

 

Address

City

State

Zip

 

 

 

 

 

Reason Not Used

 

 

 

 

2.Provider Name

Phone Number

Address

City

State

Zip

Reason Not Used

III.SECTION TO BE COMPLETED BY PARENT OR LEGAL GUARDIAN

I understand that providing false or otherwise untrue information for any of the items above could result in a criminal charge of perjury being brought against me. I certify that if any of the conditions indicated in this document should change during this school year, (I) (we) will notify the school administration within 10 business days.

Name of Student(s)

Father or Guardian SignatureMother or Guardian SignatureDate

NOTE: ONLY PARENT OR GUARDIAN SIGNATURE MUST BE NOTARIZED

Subscribed and sworn before me this ______ day of ______________________ 20____

State __________ County ______________ My commission expires ______________

Witness my hand in official seal

Notary Public

Return This Form and Application to the Base School

 

Registration Number

SS/SE-252 (3/10)

How to Edit Form Ss Se 252 Online for Free

When using the online tool for PDF editing by FormsPal, you're able to fill in or modify transfer child request form right here. The tool is constantly upgraded by our staff, getting awesome features and becoming greater. It merely requires just a few simple steps:

Step 1: Press the "Get Form" button above on this webpage to access our PDF editor.

Step 2: When you start the editor, you'll see the document prepared to be filled out. Other than filling in various blank fields, you may also perform several other actions with the form, particularly adding your own text, editing the original text, inserting graphics, placing your signature to the PDF, and more.

This PDF form needs specific information; in order to ensure accuracy, you need to pay attention to the tips listed below:

1. The transfer child request form will require specific information to be inserted. Ensure the next fields are filled out:

transfer child print writing process clarified (portion 1)

2. Once this section is filled out, go to type in the relevant information in all these - Reason Not Used, Provider Name, Phone Number, Address, City, State, Zip, Reason Not Used, III, SECTION TO BE COMPLETED BY PARENT, I understand that providing false, Name of Students, Father or Guardian Signature, Mother or Guardian Signature, and Date.

Zip, Phone Number, and City in transfer child print

Always be very mindful while filling in Zip and Phone Number, since this is the section where a lot of people make a few mistakes.

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