SANTA PAULA UNIFIED SCHOOL DISTRICT
HUMAN RESOURCES – CERTIFICATED
REQUEST FOR TRANSFER FORM
Involuntary and Voluntary
PLEASE PRINT CLEARLY
I,
, do hereby request a transfer
NAME
FROM
TO
CURRENT GRADE AND SUBJECT(S)
NEW POSITION
at
at
CURRENT LOCATION
NEW LOCATION
.
(1) TOTAL YEARS OF SERVICE:
(2) NAME OF CREDENTIAL:
(3) NAME OF COLLEGE MAJOR AND/OR MINOR OF EARNED DEGREE(S):
(4) EXTRACURRICULAR ACTIVITIES OR ATHLETICS YOU ARE WILLING
OR CAPABLE OF SUPERVISING:
X
SIGNATURE OF EMPLOYEE
_________________________
DATE
RETURN TO CERTIFICATED PERSONNEL BY DATE ON POSTING
500 E. SANTA BARBARA STREET