Intent to Withdraw
In order to expedite the withdraw process and assist schools in planning, it is important to fill out the following information. Please complete a separate form for each student.
What is the reason you wish to withdraw your student?
*
Moving or transferring to a public school in Indiana, including virtual schools.
Moving to a public school out of state.
Moving or transferring to an accredited private school in Indiana or out of state.
Transferring to a non-accredited non-public school, including homeschool.
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Moving or Transferring to a School In or Out of State
By law your child will remain enrolled IN MCS until records are requested and enrollment or attendance is confirmed with the new school. You may be contacted by your current MCS school to provide additional information in order to complete the withdraw process.
Student Name
*
First Name
Last Name
Current School
*
Please Select
East Washington Academy
Grissom
Longfellow
North View
South View
West View
Northside Middle
Southside Middle
Muncie Central High
Date of Birth
-
Month
-
Day
Year
Date
Grade Level
Name of new district or school
City and State of new district or school
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Student Name
*
First Name
Last Name
Current School
*
Please Select
East Washington Academy
Grissom
Longfellow
North View
South View
West View
Northside Middle
Southside Middle
Muncie Central High
Date of Birth
-
Month
-
Day
Year
Date
Grade Level
*
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Transferring to a Non-Accredited Non-Public School or Homeschool Program-High School
Central High School requires additional documents to complete the withdraw of students. In addition, If your child is between the ages of 16 and 18 Indiana law requires additional forms to be completed in order to withdraw from high school. You will be contacted to complete additional information and/ or participate in an Exit Interview with a Central High School Administrator.
I have reviewed the information above and understand I will be contacted by Central High School staff.
YES
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Transferring to a Non-Accredited Non-Public School or Homeschool Program- K-8
You may be contacted by the Director of Public Education/CEO for additional information to complete the withdraw process.
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Parent or guardian name.
*
First Name
Last Name
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Today's date
-
Month
-
Day
Year
Date
Signature
*
Clear
Submit
Should be Empty: