STUDENT WITHDRAWAL FORM
This form to be used upon withdrawal of student
December 17, 2008
Student’s Name:
Student’s last day of school:
The student above is withdrawn from the International School of Louisiana because of:
Illness
Death/Permanent Incapacitation
Transfer to another Public School within Louisiana
School Name:
School Address:
No Show
Re-assignment to another grade within ISL
Withdraw from grade:
Enroll in grade:
Certificate of achievement
Transfer Out of State or Country
Transferred to Non-public School
School Name:
School Address:
Transferred to Home Study/In-Home
Other: Please explain below
Release all student records to:
Address of record:
Note: According to State and School regulations, students files are not released until all outstanding obligations to the school have been met and all school equipment has been returned.
Parent Signature:
Date:
Accepted By:
Date:
www.isl-edu.org
