THE SCHOOL DISTRICT OF PALM BEACH COUNTY

Teacher Voluntary Transfer

Directions to Complete Form: 1. Verify that you are eligible for Voluntary Transfer. (See Voluntary Transfer Bulletin). 2. Apply for the 2018-2019 position via PeopleSoft. 2017-2018 positions are for the current school year ending in

June 2018. 3. Complete PBSD 1623 and send to the principal or director who advertised the position within two (2) business

days of submitting the online application. The form may be sent by fax, email, or may be attached along with your resume to the on-line application on PeopleSoft. It is recommended that you keep a copy for your records.

Certification Area(s) (list subject areas on current certificate)Expiration Date

Contract Status at this time (check one)

PBSD 1623 (Rev 11/29/2017)

Job ID Number

School

Title of Position

First Name

Current School

Current Job Title

Grade(s)/Subject(s)

Start Date as a Teacher in the District (seniority date)

Certification Grade LevelsCertification Area(s)

PSC CC AC

DEPARTMENT OF RECRUITMENT AND RETENTION

Advertised Job Information:

If you do not know your union seniority date, see your school or department secretary, or call the HR Customer Care Center at (877) 477-3722.

Employee ID #

Have you been identified as a Unit Adjustment Transfer (UAT)/Excess employee? Yes No

Last Name