INTENT TO WITHDRAW
I am withdrawing my child from the Plano Independent School District for the reason listed below. I am the legal guardian of this student.
I plan to enroll him/her in the school named below on or about the date indicated.
Student Name: |
____________________________________________________________ |
Grade Level: |
____________________ |
Student ID #: |
__________________ |
Expected Date of Withdrawal from Plano ISD: |
____________________________________ |
Name of Plano ISD School: ______________________________________________________
Withdrawal Reason: ____________________________________________________________
Expected Date of Enrollment at Next School: ____________________________________
Name and Address of Next School:
____________________________________________________________
____________________________________________________________
____________________________________________________________
If withdrawing to attend College in an academic program, indicate whether you will be a full time student enrolled in at least 9 hours: ________Yes _________No
If moving, please provide a forwarding address if known:
____________________________________________________________
____________________________________________________________
____________________________________________________________
_______________________________________________ |
________________________ |
Printed Name of Parent or Legal Guardian |
Relationship |
_______________________________________________ |
________________________ |
Signature of Parent or Legal Guardian |
Date |
_______________________________________________ |
________________________ |
Signature of School Administrator/Title |
Date |
(PISD school records will be sent upon request from next school.)
Student Records Form SR-L02 01-29-2010