4/22/2016

WILLISTON PUBLIC SCHOOL DISTRICT #1 STAFF TRANSFER APPLICATION Submit this completed application to Human Resources Complete this form to transfer to another grade, position, building or department with Williston Public School District #1. Staff Member Name:

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Present Position:

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Building:

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Request Transfer to: Position:

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Building:

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Reason for request (attach additional pages if needed): __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ Employee Signature: __________________________________________________

Date:

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Current Building Administrator’s Signature:

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Date:

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Receiving Building Administrator’s Signature:

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Date:

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Accept Transfer

Yes

No SEND FORM TO HUMAN RESOURCES

Signature of Superintendent: _________________________________________ Transfer Approved

Yes

No

Date:

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