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Transfer Form

Transfer Form

All fields marked with an asterisk (*) are required.

Please Note: Information entered into MSHSL Transfer and Review forms is visible by MSHSL Eligibility Staff and school administration staff at both the sending and receiving school.

After the schools transfer determination is agreed upon by the MSHSL you cannot make any changes to this form.

Step 1

Academic Year

Student Information

Student First Name

Student Last Name

Student Address

Country

Street address

Street address line 2

City

State

Zip code

Student Grade

Student Age

First day of attendance or first day of fall practice at your school, which ever takes place first

This form is being completed by

Activities Director

Principal

AD Admin Asst

Assistant AD

Filer Name

Filer Email

Filer Cell

General Information

Receiving School

Sports/Seasons student has participated in or is interested in

Transfer Type

Instate: Transferring to a MSHSL school from a school inside of Minnesota

Out of State: Transferring to a MSHSL School from a school outside of Minnesota

Foreign/International: Transferring to a MSHSL School from a school outside of the country

Public School Attendance Area of Current Family Residence

(for Foreign/International students select public school attendance area of HOST family)

Academic History

Date Student Entered 7th Grade

School Student Entered 7th Grade

Date Student Entered 9th Grade

School Student Entered 9th Grade

Student is transferring from

MSHSL Member School (fill in details below)

Home School

Other (fill in details below)

Select Sending School

Did the student previously attend your school in grades 9 through 12?

Yes

Did the student attend school or participate in a fall sport practice at the sending school for more than 15 calendar days before returning directly to your school?

Yes

Has the student used the "Return to Former School" transfer option in the past 365 days?

Yes

First day of attendance or participation in a fall sport practice at Sending School?

Date of return attendance at your school?

Does the student elect to decline the 15 day Return to Former School Policy that conditionally allows the student to return to the Sending School?

Yes

Have you contacted the student's parents to confirm the student's choice to decline the 15 day return option is accurate?

Yes

Date Parents were contacted and confirmed the student wants to decline the 15 day option

Is the family residence located in your public school district attendance area?

Yes

Student is transferring from

School

AD Name

School Address: Country is required. Street, City etc. are NOT required.

Country

Receiving Signature

Receiving School AD Signature

Today's Date

Step 2 (Sending AD)

Sending School

Student address at time of withdrawal

Public School Attendance Area of Student at the time of withdrawal

(Please select public school attendance area of the STUDENT at time of withdrawal)

Has the student participated on a MSHSL Governed Team?

Yes

Student eligibility

Student is eligible for all levels of competition at the time of withdrawal.

Student was NOT eligible at the time of withdrawal due to violations or transfer rule (see below)

Ineligibility Reasons

Remaining Penalty at the Time of Withdrawal

If any, enter the length and measure of each penalty, one per line, e.g. "1 Month"

Previous MSHSL Violations and Penalties Served

If any, enter the type, length, and measure of each violation and penalty, one per line, e.g. "Academic Progress - 1 Month"

Additional Information to assist the Receiving School in making their eligibility determination.

Sending Signature

Sending School AD Signature

Today's Date

Transfer (Receiving AD)

Is this the student's first transfer since the initial entrance in the 9th grade?

Yes

High School History

Please detail the students high school history. You must include school names, grade (9, 10, etc), start dates, end dates, and transfer types.

Bylaw 111 Applicable Condition

Bylaw 111 Condition - More Information

Family Residence Change

Former Address

Country

Former District Attendance Area

Check this box if the student moved with the family.

Check this box if you have in your possession, and you have reviewed evidence that the student's family (including any minor siblings and parent(s)) have changed their residence and occupancy.

Evidence of Residence Change

New mailing address of the parents or guardians

Voting registration of parents or guardians that coincides with the new residence

Driver's license registration that coincides with the new residence

Purchase or rental agreements

Homestead classification

Any reliable evidence of residency (Please specify)

Please specify other evidence of residency

Check this box if you have documentation from the previous school to affirm your answers.

Court Ordered

Have you reviewed the child protection order or the juvenile court disposition order that places the student in your school?

Yes

This form cannot be sent to the league without verification of this information.

Enrollment Options

Participation

Student elects to participate at sending school for 1 year

Student elects to participate at receiving school

Out of State Move

Do you have in your possession, and have you reviewed evidence that the student's family (including any minor siblings and parent(s)) have changed their residence and occupancy?

Yes

Do you have documentation from the previous school to affirm your answers?

Yes

This form cannot be sent to the league without verification of this information.

Did the student move and occupy the residence at the same time as the family (including any minor siblings and parent(s)) established and occupied the residence in Minnesota?

Yes

Student Out of State Move Status

Student continued enrollment at sending school for the balance of the current marking period before transferring.

Student completed the academic year at previous school before transferring.

Student move does not coincide with either of the options above and is ineligible for one calendar year.

Foreign Transfer Type

Foreign Exchange Student

International Student (Student moves to MN)

International Student (Entire Family moves to MN)

Foreign Exchange Students

Select the student's CSIET Approved Program

ABC Education

Private and Public School F-1 Exchange (PSE)

Academic Foundation for International Cultural Exchange (AFICE)

Academic Year in America/AIFS Foundation

AFS-USA, Inc.

American Councils for International Education

American Cultural Exchange Service (ACES)

American Homelife International (AHLI)

AnB Education dba Summa Global Education

Apex International Education Partners, LLC

ARISE USA

Aspect Foundation

ASSE International Student Exchange Programs

ASSIST, Inc.

Association for Teen-Age Diplomats (ATAD)

Ayusa International

Best Educational Solutions Today

Borderless Friends Forever Foundation, Inc.

Boston Global Education

C & T Education

Cambridge Network

Central Regional High School

Children Around the World II, Inc.

Children of All Nations

Council for Educational Travel, USA (CETUSA)

Council on International Educational Exchange (CIEE)

Cultural Academic Student Exchange (CASE)

Cultural Homestay International (CHI)

DMD Private High School Program

Easy Plus Education

Edu-inno inc.

Education Tour Center

Education Travel and Culture, Inc.

Educational Resource Development Trust (ERDT/SHARE!)

Educatius Inc.

EF High School Exchange Year

Exchange Service International dba SLB Consulting Corp.

ExchangeMate USA International Education

Face The World Foundation

Foreign Links Around the Globe (FLAG)

Forte International Exchange Association (FIEA)

Foundation for Academic Cultural Exchange (FACE)

Foundation for Worldwide International Student Exchange (WISE)

German American Partnership Program, Inc. (GAPP)

Global Horizons USA LLC

Global Insights

Global Student Services of America

Greenheart Exchange

Heritage Student Foundation

HSUSA (dba Global Cultural Exchange)

iGoGo International

Inter-Ed

International Cultural Exchange Services (ICES)

International Experience (iE-USA)

International Fellowship

International School of Minnesota

International Student Exchange

IPERC Academy

Ivy Education Corp.

Ivy International Group (dba Tiancheng International Group Inc.)

Joy International Exchange Student, Inc.

Lartin Brothers, LLC

Laurasian Institution

MLA Move Language Ahead (Study World Corporation)

Nacel Open Door

Newcomb Central School

NorthWest Student Exchange (NWSE)

NW Services, Inc.

OCEAN Organization for Cultural Exchange Among Nations

Our Lady of Good Counsel High School

Pan Atlantic Foundation

Program of Academic Exchange (PAX)

Reflections International, Inc

Rotary Youth Exchange Programs

School District of Janesville

States 4-H International Exchange Programs

STS Foundation

Student American International (SAI)

StudentRoomStay

TBI-New Oasis Education

Terra Lingua USA

Three W International

Twinn Palms, Inc.

UCEUS Corp.

United Studies, inc.

Venture International Academy

World Heritage International Student Exchange Programs

World Link, Inc.

Youth For Understanding (YFU USA)

Is this the student's first foreign exchange student transfer to a Minnesota school?

Yes

Did your school or any person associated with your school have input into the selection of this student for placement?

Yes

Is any member of the school's coaching staff, paid or voluntary - including coaches from programs in which the student will not participate - serving as the host family for the student?

Yes

Is the foreign exchange student selected or placed on any basis related to their athletic interests or abilities?

Yes

International Students

Does the student possess a current F-1 visa issued by the U.S. Immigration and Naturalization Service?

Yes

Is this the student's first international student transfer to a Minnesota School?

Yes

Is any member of the school's coaching staff, paid or voluntary - including coaches from programs in which the student will not participate - serving as the host family for the student?

Yes

International Students (Family Residence Move)

Do you have in your possession, and have you reviewed evidence that the student's family (including any minor siblings and parent(s)) have changed their residence and occupancy?

Yes

This form cannot be submitted until you have proof of residence and occupancy change.

Check this box if you have a copy of the student's official transcript.

The student's transcript is required to complete this form.

Has the student repeated a grade since first enrolling in the 9th grade?

Yes

Which grade did the student repeat?

Check this box if the student has not completed 12 semesters of eligibility since first enrolling in the 7th grade.

Check this box if the student has not completed the terminal grade in the previous school, graduated or earned a GED.

Check this box if you have a copy of the student's official physical or health history.

A student's physical or health history is required for all participants.

Check this box if the student fully enrolled in your school as defined by the Minnesota Department of Education.

Student is not eligible for participation unless fully enrolled in your school.

Has the student participated in more than four seasons in any sport beginning in the 9th grade?

Yes

Please identify sport(s) in which the student has participated in four or more seasons since 9th grade.

In consideration of all of the above, the designated school representative has determined the student be

Provide the necessary supporting documentation to support the transfer.

Optional: Provide additional supporting documents to support the transfer. This information should support information about the selected one of the five provisions of Bylaw 111. This information will not be used for consideration in a review.