Student Transfer Form
Hamilton Township School District
Mays Landing, Atlantic County, New Jersey 08330
District Website: hamiltonschools.org
Dana Kozak
Educational Stability Liaison
Telephone: (609) 476-6107

Colleen Bretones
Homeless Liaison
Telephone: (609) 476-6271
Fax: (609) 909-9466

Charlize Wagner
Registration
Telephone: (609) 476-6272

Parent/Guardian Information:

Student Transfer Card Information

Dear Parent/Guardian,

All sections must be filled out before submitting.  When a child transfers from district to district and State to State, we are required by the State of New Jersey to record this information.  Incomplete information may delay the release of student documents requested.  Please leave a contact number, and we will call when your child’s documents are ready for pick up.   All outstanding obligations, such as, lost or late fees for Library Books, money owed to the Cafeteria, lost or damaged textbooks, etc, must be fulfilled.  Thank you in advance for your cooperation.

Date and Time Submitted*
Parent/Guardian Phone Number*
Parent/Guardian Email Address
New/Forwarding Address:*

Student Information:
Student Name:*
Grade*
Date of Birth*
Last Day student will attend Shaner/Hess/Davies*
Does the student have an IEP/504*
Reason for Transferring Student
Reasons:*
New School Student will be attending:
School Name:*
School Address:*
If you have supporting documentation, please attach it.
Edit File Note...

* Indicates that the item is required