Withdrawal Form

Acknowledgment of Student Withdrawal Process

Please be advised of the following procedures regarding student withdrawals:

An Official Withdrawal Request form must be completed for any student who is withdrawing from school.

This process may take additional time if the student has outstanding fees or has not returned school-issued materials.

Upon submission of the withdrawal request, students are required to return all of the following:

  • Textbooks
  • Library books
  • Athletic uniforms and equipment
  • Chromebook/Laptop

To ensure a timely and smooth withdrawal process, please return all school property as soon as possible.

Important Notes:

  • Only the parent or legal guardian who originally enrolled the student(s) may initiate the withdrawal process.
  • Parents must provide the name of the school to which the student will be transferring.

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Acknowledgement *
Pflichtfrage
Student Information
Student Full Name *
Date of Birth *
Datum
Grade  *
Last Day  *
Datum
School Enrolled *
Please Select Reason for Withdrawal *


Please provide a brief explanation of the reason for Withdrawal.

This student has an active IEP and is receving Special Education Services. *
This student has a 504 Plan. *
If you answered yes, please contact Special Programs Department at Sped.records@be.wednet.edu for a copy of your child's IEP.
New School Information
School Name *
Address
City, State, Zip *
Phone
Fax or Email
Parent Information
Parent/Legal Guardian Name: *
Phone Number *
Email *
Thank you for your submission!

Please register your student in your new district. Once registered, the new school will request their records. If you need a copy of any required documents or a transcript, please contact your student's current school. You may continue to receive communication from us until we receive the official records request from the new school.  

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