LAHS Student Withdrawal Form 22-23

LEAD Public Schools Record of Student Withdrawal
I *
Parent/Guardian Full Name
herby withdraw,*
Student Full Name
On *

MonthDayYear
Month/Day/Year
from*
School Name
and will be enrolling him/her into*
New School Name
Reason for withdrawal: (Parents, please provide a detailed explanation as this will be used for evaluation purposes on how to remedy such cases in the near future and continue to better serve our students and families.) Rank in order of relevance. (1 being the primary reason /Motivo del retiro: (Padres, proporcionen una explicación detallada, ya que se utilizará con fines de evaluación sobre cómo remediar tales casos en un futuro próximo y continuar sirviendo mejora nuestros estudiantes y familias). Clasifique en orden de relevancia. (Primer razón principal)

TransportationMoved Out of ZoneDisciplinary IssuesStaff-ConfrontationStudent Performance AcademicallyAcademic RigorPreferred another MNPS SchoolCultural Issues (LEAD was not a good fit)Moved Out of ZoneOther
Feel free to provide more details in the space below. Thanks in advance for your willingness to help us better serve our students and families No dude en proporcionar más detalles en el espacio a continuación. Gracias de antemano por su disposición a ayudarnos a servir mejor a nuestros estudiantes y familias.
Important

Please take a picture of your ID

or

upload the picture of your ID.

Without a picture ID, we can't process your withdrawal.
Take Photo of the Parent ID *
Parent/Guardian Signature*

Clear
Parent/Guardian Name:(Printed)*
Should be Empty: