Request to Un-Enroll Student
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Request to Un-Enroll Student
Please fill out this form if your student will be leaving (un-enrolling) their current school. This request will be forwarded to school staff for processing.
1.
Student Name
*
2.
Student's Current School
*
--Please Select--
Camarillo Heights STEM Acacemy
Dos Caminos Elementary
La Mariposa Elementary
Las Colinas Middle School
Las Posas Elementary
Los Primeros School of Sciences & Arts
Monte Vista Middle School
Pleasant Valley School of Engineering & Arts
Rancho Rosal Elementary
Santa Rosa Technology Magnet School
Tierra Linda Elementary
Preschool Early Education Program (PEEP)
3.
What is the reason the student is leaving?
*
Moving out of area/district to somewhere within California.
Moving out of area/district to a different state.
Moving out of area/district to somewhere outside of the United States.
Homeschooling
Private School
Attending a public school outside of Pleasant Valley School District.
Other, please specify
4.
If attending another school, what is the name of the school and the city/state where the school is located?
School Name
City
State
5.
Dates of Attendance
Last Day Attending Current School (XX/XX/XXXX)
First Day Attending New School (XX/XX/XXXX)
6.
Parent/Guardian Contact Information
*
Parent/Guardian Name
Email Address
Phone (XXX) XXX-XXXX
7.
Any other information you would like the school to know about this request?