REQUEST FOR TRANSFER OF IEP

Date of Request________________________         

Name of Child: _______________________________________________
School Currently Attending: _____________________________________
Address: _____________________________________________________
City/Township: ______________________  State:  PA    Zip: __________  

Name of Parent: ______________________________________________
Address: ____________________________________________________
City/Township_______________________  State:  PA    Zip___________

Dear Administrator,

My child has a current IEP in place at your school and I am requesting that the IEP location be transferred from your school to The Graham Academy, 469 Miller Street, Luzerne, PA, 18709.  It is my wish that this transfer be expedited as soon as possible and that no further testing take place prior to the transfer.  Thank you for your help in this matter,

______________________________________

Parent Signature