Pre-K/EC Student Withdrawal Form
This form needs to be completed when a student is no longer attending.
Reason for completing this form:
Complete withdrawal from program
Student's Full Name
Last, First, Middle
Student's Date of Birth
SIS Number of student (this is a nine digit state ID - it should be listed in student information system of school)
Never enrolled in Pre-K/EC
Does the student have an IEP?
IEP- Speech only
IEP- Walk in speech
Be sure that drop date is consistent with the school secretary.
Reason for withdrawal
Moved within Williamson County
Moved outside of Williamson County
To attend a full day program
If reason for withdrawal is not listed or you know the name of the program the child is now attending, please explain
If moving to different program within the district, please state that information (ex. transfer from Ragan AM to Keel AM)
Person completing this form
First and last name
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This form was created inside of Williamson County Education Services.