Request for Student Withdrawal Logo

  • Request for Student Withdrawal

    from Universal Academy

  • Student Information

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  • Parent/Guardian Information

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  • Withdrawal Information:

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  • Education is important. When students leave our district and begin school somewhere else, it is our charge to make sure that enrollment in another educational setting is verified and documented.  

  • Acceptance & Digital Signature

    I authorize Universal Academy to accept all correspondence transmitted by me via electronic means. In addition, I certify that all communication sent from this transaction shall be upon my electronic signature and acceptable as replacement for my written signature. I understand that the electronic signature may not be denied legal effect or enforceability solely because it is in electronic form.By clicking "Accept" below I am certifying that I have read, understand, and agree to the conditions as stated and further agree to conduct business with use of an electronic signature (typed/keypunch name in designated areas).I have read and understand in full the information contained in this document. By entering my name, checking the box, and clicking the submit button below, I am providing my electronic signature which indicates my confirmation of agreement to the above terms and that all submitted information is accurate and true.
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