Follow the steps to fill out the form online.

1. Press the ‘Get Form’ button to obtain the form and open it in the PDF editor.
2. Fill out the campus ID number and the campus name at the top of the form. Ensure that this information is accurate to avoid processing delays.
3. Enter the date of completion. Use the format MM/DD/YYYY to ensure clarity.
4. Provide the student information. Fill in the student’s name in the format of Last, First, Middle, along with the ID number, birth date, grade level, and gender. Use ‘M’ for male and ‘F’ for female.
5. In the exit information section, fill in the parent or guardian’s name, relationship to the student, email address, and phone number. Ensure the new mailing address, city, and state are also correctly entered.
6. Indicate the new school or district the student will be attending, along with the city and state of the new school.
7. Fill in the home country, including the city, if applicable. Additionally, provide a reason for the withdrawal from the current school.
8. In the exit code assignment portion, clearly type or print the appropriate leaver code based on the circumstances of the student's exit. Refer to the provided list to select the correct code.
9. Complete the administrator’s information section by providing the administrator’s signature, printed name, title, and the date.
10. Finally, ensure all necessary supporting documents are attached to this form. Review all entries for accuracy before proceeding.
11. After completing the form, you can save changes, download, print, or share the form as needed.

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