HomeMy WebLinkAboutOCDSB 539 Transfer & Rqust for OSR Nov
STUDENT TRANSFER FORM /
REQUEST FOR ONTARIO STUDENT RECORD (OSR)
(EXTERNAL TO THE OCDSB)
(R:PPR.539.SCO)
EFERENCE ROCEDURE
PART A: DEPARTING SCHOOL
This is to certify that: Student's Name Date of Birth OCDSB Home Room No.
Student ID No.
Student’s Address
Was in attendance at: School's Name School's Address
From To His/Her Present Placement Is
General Comments
Transferred to: School's Name School's Address
______________________________________ ________________________________________________
Date School Official
Your health unit may obtain health records from:
OTTAWA PUBLIC HEALTH
100 Constellation Crescent Ottawa, Ontario K2G 6J0
The Ontario School Record Folder for this student will be forwarded directly to you upon receipt of this form
(completion of Part B) or alternatively, a request in the form of a letter on official letterhead. The parent/guardian, or
student, has been provided with a copy of his/her latest report card and Ontario Student Transcript, if applicable.
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PART B: RECEIVING SCHOOL
CONFIRMATION OF REGISTRATION/OSR OFFICIAL REQUEST
This is to confirm that: Student's Name Student's Address Student's ID No.
Has registered at: School's Name School's Address
______________________________________ ________________________________________________
Date Parent/Guardian/Student Signature
I hereby agree to accept responsibility for the record and to use, maintain, transfer, and dispose of the record in
accordance with the Ministry of Education’s Ontario Student Record (OSR): Guideline, 2000 and the
Education Act.
______________________________________ ________________________________________________
Date School Official
Personal information on this form is collected under the authority of the Education Act and will be used for the purposes of a request for the
transfer of an OSR outside of the OCDSB. If you wish to review this information or have questions regarding its collection, please contact
the principal of the school where the student is registered.
OCDSB 539 School Operations (November 2009) Page 1 of 1
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