K-12 Withdrawal/ Drop Form
To be used when a K-12 IEP student is no longer in attendance. Students in EC and PreK - please use the 3-5 Withdrawal Document.
Student's FULL Name *
First, Middle, Last
Student's DATE OF BIRTH *
MM
/
DD
/
YYYY
SERVING District *
Where does the student attend school?
RESIDENT District *
Where does the student live?
Date DROPPED *
Please coordinate with school secretary for consistent DROP Dates with State Reporting
MM
/
DD
/
YYYY
Receiving School/Facility
ONLY if child moved or residential placement: Where?
Reason for Withdrawal *
Why is the child no longer enrolled?
Enter your email address for confirmation (check for accuracy) *
Please type your first and last name
Submit
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This form was created inside of Williamson County Education Services.