Follow the steps to complete the form online.

1. Click the ‘Get Form’ button to obtain the form and open it in the online editor.
2. Locate the ‘Campus ID#’ field at the top of the form. Enter the unique identification number assigned to the campus from which the student is exiting.
3. In the ‘Campus Name’ field, clearly print the name of the campus associated with the student’s enrollment.
4. Fill in the ‘Date’ field with the current date, ensuring it follows the format requested.
5. In the ‘Student Information Portion,’ provide the student’s full name (last, first, middle) as requested, along with their ID number, birth date, and grade level.
6. Select the appropriate gender by marking either ‘M’ for male or ‘F’ for female.
7. Proceed to the ‘Exit Information Portion.’ In this section, input the name of the parent, guardian, or qualified student, as well as their relationship to the student.
8. Provide the email address and the current or mailing address for the parent or guardian, including the city and state.
9. If applicable, fill out the details for the new school district and campus, including the city and state, as well as the home country.
10. Select the reason for withdrawal from the dropdown options provided, ensuring all chosen reasons reflect the student's situation.
11. In the ‘Exit Code Assignment Section,’ type or print the appropriate leaver code that corresponds with the student’s reason for withdrawal, as listed in the guide.
12. Obtain the necessary signatures in the ‘Administrator’s Information’ section, including the administrator's printed name, title, and date of posting.
13. Make sure to attach any required supporting documentation based on the chosen leaver code in the designated area.
14. Finally, review the completed form for accuracy. You can then save changes, download, print, or share the filled form as necessary.

Complete your forms online today for a streamlined submission process.