MDO Official Withdrawal Form
Please note that only the parent/guardian that registered the student may process the withdrawal. If a laptop was checked out from MDO, it must be returned before the withdrawal is processed.
STUDENT NAME
*
First Name
Last Name
STUDENT ID NUMBER
*
GRADE AT TIME OF W/D
*
Please Select
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
TYPE OF WITHDRAWAL
STUDENT W/D TO ANOTHER SCHOOL IN M-DCPS (W02)
STUDENT W/D TO ANOTHER DISTRICT IN FLORIDA (W3A)
STUDENT W/D TO ANOTHER SCHOOL NOT IN FLORIDA (W3B)
STUDENT W/D TO A NON-PUBLIC (W04)
STUDENT W/D TO HOME EDUCATION (FLVS FLEX) (W24)
STUDENT W/D TO FULL TIME FLORIDA VIRTUAL SCHOOL (FLVS) (W3A)
NAME OF TRANSFERRING SCHOOL
*
ADDRESS OF TRANSFERRING SCHOOL
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
TELEPHONE NUMBER OF TRANSFERRING SCHOOL
*
Please enter a valid phone number.
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PARENT NAME
*
First Name
Last Name
PARENT TELEPHONE NUMBER
*
Please enter a valid phone number.
PARENT EMAIL
*
example@example.com
PARENT ADDRESS
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Picture of Registering Parent Driver's License or ID
*
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