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Items denoted with a red asterisk
*
are required.
Out of County Transfers
This form is to be used when a student transfers into CCS from another NC county.
*
Student NCWISE Number:
*
Student Name:
*
Student Social Security # or Medicaid #
*
Student Date of Birth:
**Must use slash (/) not dash (-) when entering dates**
*
Case Manager Name:
*
List Daycare/Preschool if student is PK and not receiving services at a Caldwell County School.
*
LEP Student:
Yes
No
*
Will School Adopt Incoming IEP As Written:
Yes
No
If current IEP information is not in CECAS, I will email you for that information.