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Get Highland Park High School Withdrawal Form

CHOOL WITHDRAWAL FORM I.D. NUMBER: _______________ DATE EFFECTIVE: STUDENT NAME: BIRTH DATE: CHECK THE FOLLOWING IF APPLICABLE: SPECIAL EDUCATION BOOK PROGRAM ______ PARENT/GUARDIAN: ADDRESS ON FILE: NEW ADDRESS (IF KNOWN): CHANGE OF STATUS: (CIRCLE ONE) 1. WORKS FULL TIME 2. FAMILY PROBLEMS 3. ACADEMIC FAILURE 4. EXPELLED 5. MARRIAGE 6. NON-ATTENDANCE 7. EMOTIONAL PROBLEMS 8. PARENTAL ACTION 9. PREGNANCY 10. ENROLLED BUT NEVER ATTENDED 11. TRANSFER/MOVED 12. YOUTH HOME, OTHER .

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