Student Withdrawal
We are sorry to see you go but have appreciated the opportunity to provide a valuable service for your student's educational needs. Please help us continue to improve by letting us know what you liked and what we can improve on. 
If you are notifying us of withdrawal, effective at the end of the current program year, please put the withdrawal date as 6/30/20(fill in the current year) 
We wish you the best!
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Email *
Student First Name *
Student Last Name *
Please indicate what your withdrawal is for *
What did you like about the Carson Smith Opportunity scholarship - including but not limited to, the application process, reimbursements, purchase requests, school payments, communication, etc? 
What could we have done to provide you with a better experience?
What is the reason for your withdrawal? 
 *
If other, please provide additional information. 

My student, is hereby withdrawn from the Carson Smith  Opportunity scholarship program managed by Children First Education Fund.  

I acknowledge that my student’s withdrawal from the scholarship program forfeits any remaining scholarship funds that he/she would otherwise be entitled to and if we decide to return to the program, we will need to reapply as a new scholarship application. 

*Please type your name below in acknowledgement of your students withdrawal from the Carson Smith Opportunity Scholarship program, managed by Children First Education Fund.

 *
Date of withdrawl
*If withdrawal is effective at the end of the program year please mark date as June 30, (fill in the current year)
 *
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