School Withdrawal Form

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Please fill in this form to withdraw your student from UAP school

Student(s) Name(s): *

Student Birth Date *

YYYY

Student Grade *

Pre Kindergarten

Kindergarten

First Grade

Second Grade

Third Grade

Fourth Grade

Fifth Grade

Sixth Grade

Seventh Grade

Eight Grade

Withdrawal Date *

YYYY

Parent/ Guardian Name ( full name): *

Phone number: *

Parent/Guardian email: *

Reason for Withdrawal *

a. Moving out of state

b. Moving to another school district

c. School does not offer upper grades for my child

d. Not satisfied with the academic curriculum

e. Not satisfied with the safety of my child at UAP

f. Not satisfied with the support services needed for my child

g. Not satisfied with faculty / staff

h. Not satisfied with leadership/administration

i. Not satisfied with school disciplinary policies

j. Not satisfied with school facilities

k. Transportation problems

l. Child siblings/friends at another school

m. Lack of communication with teachers

n. Lack of extracurricular activities

o. Tuition is too high

p. Other:

Required

What aspects of UAP are you still most satisfied with?
(Select all that apply)
*

a. Islamic education

b. Teachers/staff

c. Administration

d. Extracurricular activities

e. Safety

f. Academic

g. Other:

Required

What aspects of UAP failed to meet your expectations?
(Select all that apply)
*

a. Islamic education

b. Teachers/staff

c. Administration

d. Extracurricular activities

e. Safety

f. Academic

g. N/A: Moving

Required

What is one improvement UAP could make to improve your child’s educational experience significantly?
*

What is one improvement UAP could make to improve parent experience significantly?
*

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