Form JBCD-2
Empowering Dreams for the Future
HARDSHIP TRANSFER REQUEST
Forms may be faxed, mailed, hand delivered, or e-mailed to the Student Support office.
P. O. Box 1088, Marietta, GA 30061 ● Fax: 678-594-8557 ● e-mail: studentsupport@cobbk12.org
NOTE: Cobb County School District does not accept transfers from non-resident students.
Parents/guardians should receive a response to the transfer request within 30 days of receipt of the request.
This application must be fully completed and legible to be considered.
Which transfer request are you applying for? (Please check one)
Legal
Child Care
Medical
Other
(Elementary Only)
Student Name:
Student ID #:
(can be found on report card & progress reports)
Date of Birth:
Grade:
Age:
Gender:
Parent/Guardian Name:
Home Address:
City:
Apt. Complex Name and #:
Zip:
E-mail:
Primary Phone:
Alternate Phone:
Most recent school
the student attended:
In which school attendance
zone do you reside?
Was this child granted a transfer for
the current school year?
Does your child receive Special
Education Services?
Yes
Yes
No
No
If so, to which school?
If so, which program:
CONDITIONS OF TRANFSER:
 Approved transfers are valid for the current school year in which issued.
 A student may receive only one transfer during a school year.
 Transfers are considered for individual students, not family groups.
 Transportation must be provided by the parent/guardian.
 Students granted administrative transfers must maintain acceptable attendance, behavior, and grades as
determined at the discretion of school administration.
 The parent/guardian is expected to maintain a cordial and cooperative working relationship with school personnel.
 Failure to comply with any provision of a hardship transfer shall authorize the principal to immediately withdraw
such student.
 Students must meet performance eligibility as defined by GHSA regulations for participation in extracurricular
activities and may lose eligibility as a result of a transfer.
I certify that all information provided is true and accurate to the best of my knowledge. If false information is
provided, or the circumstances under which a transfer is granted change, the transfer is subject to revocation.
______________________________________________________
Parent/Guardian Signature
10/8/14: Student Support
*JBCD-2*
_____________________________
Date
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Please read the following information carefully to determine if your child is eligible for a Hardship Transfer.
An incomplete application could cause a delay in processing time.
Please use the last page if you have any additional information to share regarding this application.
Legal Hardship:
Legal hardships occur when a student is subject to a court order that would prevent him/her from attending the school to which he/she
is zoned to attend. A copy of the applicable court order must be submitted along with this application.
Application Guidelines
 All court documentation must be current.
 Transfers will be approved for the school closest to the student’s home school that has capacity to accommodate such a
request.
 Once the court order expires, the student will be subject to returning to his/her home school.
Medical Hardship:
Consideration is given to requests for a student transfer from the home school to the next closest school based on documented
physical, psychological or emotional issues. The student’s physician or mental health care provider should provide written
recommendation and specific medical reasons why the student cannot attend the school to which he/she is zoned to attend. The parent
may also provide additional information as to why the transfer should be granted.
Application Guidelines
 All medial information (letters/examinations) submitted should be current (within the last six months)
 The medical need must be substantiated by the home school.
 If a student has never attended the home school, the request shall be deemed unsubstantiated since the home school has not
been given an opportunity to address the student’s medical need.
 If approved, the transfer will be granted to the school closest to the student’s home school that has capacity to accommodate
such a request.
Child Care Hardship – ELEMENTARY ONLY
For a child care hardship to be approved, both parents must be employed full time (if only one parent is in the home, that parent must
be employed full time) and the child care center or sitter must be located in the attendance zone of the requested school. If the child
care arrangement is ever discontinued during the school year, then the student will return to the home school at the end of that current
semester. Also, if the parent/guardian’s residence, full time employment or work schedule changes, the Student Support office school
be notified immediately.
Application Guidelines
 Transfer approvals are based on available space at the school closest to the child care provider.
 The student must be actively enrolled in the child care program.
 Verbal confirmation from the childcare provider that they do not pick up from the home school is required.
Parent/Guardian’s Name:
Employer’s Name:
Hours Worked Each Day
Employer’s Telephone #:
Monday
Tuesday
Parent/Guardian’s Name:
Employer’s Name:
Hours Worked Each Day
Wednesday
Thursday
Friday
Employer’s Telephone #:
Monday
Tuesday
Wednesday
Thursday
Friday
Tuesday
Wednesday
Thursday
Friday
Name of Child Care Provider:
Child Care Address:
Hours of Child Care Provided:
Monday
I certify the child care arrangements listed above are correct and I will notify the Student Support office if the arrangements change.
Signature of Child Care Provider: _________________________________________
10/8/14: Student Support
*JBCD-2*
Date: ___________________________
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Other
Unique hardships depend on individual family situations. However, issues such as grievances arising from parent-school conflicts,
peer groups associations, discipline, attendance problems, and a general dissatisfaction with a particular school are not considered
hardships.
Application Guidelines
 Parents/guardians should provide appropriate information regarding the extent of the family situation for which a hardship
transfer is requested.
 The home school must have been given an opportunity to appropriately address the student’s needs prior to a hardship being
considered.
 If a student has never attended the home school, the request shall be deemed unsubstantiated since the home school has not
been given an opportunity to address the documented concerns.
Please use this portion of the form if you have any additional information to share regarding the hardship.
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(Attach additional sheets if necessary to fully explain the reason(s) for the request.
PLEASE DO NOT WRITE BELOW THIS LINE
DISTRICT USE ONLY
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10/8/14: Student Support
*JBCD-2*
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