Student Withdrawal Form
Retiro del estudiante
Type of Withdrawal:
Parent-Initiated--parent(s) desires to withdraw student from the school.
Administrative--after repeated contact and/or no response from the family regarding required information of enrollment paperwork, continuation paperwork, or absences, the administration has determined the student will not be returning to the school due to noncompliance or the parent(s) has (have) refused to provide the required information.
Today’s Date/Fecha (MM/DD/YYYY)
Withdrawal Effective Date/ Fecha efectiva:
Student’s Name/Nombre de Estudiante:
Date of Birth/Fecha de Nacimiento:
Grade in School/Grado en Escuela:
Parent/Guardian Name/Nombre de Padre/Madre
Student is Enrolled in:
Program(s) Enrolled:
Student is withdrawing from:
Student is withdrawing from:
Transferring to/Transferir a:
Name of New School/Nombre de la Nueva Escuela:
School Address/ Dirección de Escuela:
City, State/Province, Zip Code/Ciuadad, Stato o Privincia, Codigo Regional:
School Telephone/Numero de Fono de Escuela:
By signing below, I affirm that I am withdrawing my student from AIAA and forfeiting my student’s place in the face-to-face Enrichment Program (if applicable).
Al firmar a continuación, afirmo que retiraré a mi estudiante de AIAA y perderé el lugar de mi estudiante en el Programa de Enriquecimiento presencial (si aplicable).
If administrative withdrawal, click here and type admin name:
