STUDENT WITHDRAWAL NOTIFICATION

Required

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STUDENT WITHDRAWAL NOTIFICATION


 

Please note: this form is the first step to withdraw a student. Your student(s) will not be officially withdrawn until we have received appropriate notification of enrollment from their new school. The school office will send the student records (known in Michigan as the "CA-60" file) directly to the new school office upon official withdrawal
 
Because the school offices are closed from the end of June through mid-August, summer withdrawals will be processed promptly when school office staff return in August. 

 

Name of Person Completing Form required
First Name
Last Name

Student Information


 

Student Namerequired
First Name
Last Name
School student is withdrawing from: required
The last day this student will attend Dexter Community Schools (Must contain a date in M/D/YYYY format)
Do you have another student to withdraw? required
Second Student's Namerequired
First Name
Last Name
School second student is withdrawing from: required
The last day this student will attend Dexter Community Schools. (Must contain a date in M/D/YYYY format)
Do you have a third student to withdraw?
Third Student's Namerequired
First Name
Last Name
School third student is withdrawing from: required
The last day this student will attend Dexter Community Schools. (Must contain a date in M/D/YYYY format)
Do you have a fourth student to withdraw? required
Fourth Student's Namerequired
First Name
Last Name
School fourth student is withdrawing from: required
The last day this student will attend Dexter Community schools (Must contain a date in M/D/YYYY format)
Reason for Student Withdrawalrequired
Number and Street Name

New Educational Setting Information


 

Type N/A if homeschooling
Street name & number, City, State, and ZIP Type N/A if homeschooling
(if known) (Must contain a date in M/D/YYYY format)

Acknowledgments and Electronic Signature

I understand that my student is required to return all textbooks, materials, library books, technological devices, and any other materials belonging to Dexter Community Schools before this withdrawal will be considered complete. requiredYour school office can let you know if your student/students has/have any outstanding materials. 
Your school office can let you know if your student/students has/have any outstanding materials. 
I understand that if there are any outstanding materials not returned to Dexter Community Schools, I may be charged for them. requiredYour school office can let you know if your student/students has/have any outstanding materials. 
Your school office can let you know if your student/students has/have any outstanding materials. 
Type your full legal name. For example, JOHN JACOB DOE