SWL Notice of Withdrawal
Complete this form if you are withdrawing your student from Southwest Licking Schools.  Please note: a withdrawal cannot be official until a Records Request from the new school of attendance has been received. 
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Person Completing the Form: *
Student First Name *
Student Last Name *
ID Number *
Birthdate *
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Grade *
Building *
Withdrawal Date *
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DD
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YYYY
Name of School to which student is transferring *
Current Address *
New Address *
Parent Signature *
Please note that all books and school-owned supplies must be returned and all financial obligations must be taken care of.  By typing your name in this box, you are verifying that the above information is correct.  
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