Elementary Withdrawal Request
Please use this form to record a withdrawal from your course and OCVS.
* Required
Email address
*
Your email
Student Last Name
*
Your answer
Student First Name
*
Your answer
Student Number (i.e. 480...)
*
Your answer
Parent Email Address
*
Your answer
Grade Level
*
Kindergarten
First
Second
Third
Fourth
Fifth
Required
Student is Returning to
*
Zoned School
Enroll as a Home Education Student
Enroll in FLEX program (part-time)
Transferring to another county in Florida or another state
Other:
Required
Zoned School the Student is Returning to (i.e. Andover Elementary School)
*
Your answer
Requested Date (Second Semester withdrawal date as of January 4, 2020)
*
MM
/
DD
/
YYYY
Withdrawal Requested By (i.e. name of parent)
*
Your answer
I understand that if my child has a device checked out from OCVS. It must be returned to the OCVS campus Monday thru Friday 8AM to 4PM before the withdrawal will be completed.
*
Yes
No
Send me a copy of my responses.
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