Disenrollment Form 9-12^th Grade

(To be completed by the ES and the parent/student when a 9-12^th grade student disenrolls from CWCS prior to completing all graduation requirements. Graduates do not have to complete this form. ES keep form in student file and submits information in FRED when prompted while creating the drop form.)

Student: Student #:

Parent:

Address: City

Phone

Reason for leaving

□ Transfer to public school in the state of CA

Name

□ Transfer to private school in the state of CA

Name

□ Transfer to school outside of the state of CA

□ Moving out of the country

Country

□ Enrolling in adult education program

□ Student dropped for truancy, and ES is unable to make contact.

Adult Students/12 Grade Students
(ES explain difference to student)

Are you/will you be enrolling in a public high school 9-12^th grade?

Name

Are you/will you be enrolling in an adult education program?

Name