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Request for Student Withdrawal


Who is requesting the withdrawal?required

Student Information:

Student First & Last Namerequired
First Name
Last Name
Must contain a date in M/D/YYYY format
Must contain only numbers
Current Campusrequired

Parent/Guardian Information:

Parent/Guardian Namerequired
First Name
Last Name
Must contain only numbers
Attach up to 1 file with a maximum size of 10MB
No file chosen

Withdrawal Information:

Must contain a date in M/D/YYYY format
Will the student be moving to a new address?required
Choose one permissible reason to withdraw:required

Technology & Other School Property 

Like textbooks and other school property, a technology device is assigned to each student and MUST be returned to CISD upon withdrawal. Your student’s district-issued device such as a Chromebook, library book, or other district property, must be returned to the campus. 

The District expects all technology, chargers, and other school property to be returned in good working condition within three school days of withdrawal.

Education is important. When students leave our district and begin school somewhere else, it is our charge to make sure that enrollment in another educational setting is verified and documented.  

I authorize Crandall ISD to accept all correspondence transmitted by me via electronic means. In addition, I certify that all communication sent from this transaction shall be upon my electronic signature and acceptable as replacement for my written signature. I understand that the electronic signature may not be denied legal effect or enforceability solely because it is in electronic form.

By clicking signing below I am certifying that I have read, understand, and agree to the conditions as stated and further agree to conduct business with use of an electronic signature (typed/keypunch name in designated areas).

I have read and understand in full the information contained in this document. By entering my name and clicking the submit button below, I am providing my electronic signature which indicates my confirmation of agreement to the above terms and that all submitted information is accurate and true.

Must contain a date in M/D/YYYY format
First & Last Namerequired
First Name
Terms of Agreementrequired