CORE Placer- Withdrawal Form
Email address *
Today's Date
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DD
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Who is completing this drop form? *
Your answer
Student Full Name *
Your answer
Student Current Grade Level *
Your answer
Student's Current Personalized Learning Teacher *
Your answer
Did you attend Labs at Colfax Resource Center? *
What school will your student be transferring to? *
Why are you withdrawing your student from CORE Placer? *
Your answer
Last Day at CORE Placer (Day prior to your first day at another school) *
MM
/
DD
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YYYY
A copy of your responses will be emailed to the address you provided.
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