Elementary Withdrawal Request
Please use this form to record a withdrawal from your course and OCVS.
Email address *
Student Last Name *
Student First Name *
Student Number (i.e. 480...) *
Parent Email Address *
Grade Level *
Required
Student is Returning to *
Required
Zoned School the Student is Returning to (i.e. Andover Elementary School) *
Requested Date (Second Semester withdrawal date as of January 4, 2020) *
MM
/
DD
/
YYYY
Withdrawal Requested By (i.e. name of parent) *
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. *
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