CCPS Student Withdrawal Request Form

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Parent(s)/Guardian(s)/Caretaker(s) requesting to withdraw their student(s) from school must answer all questions on the Clayton County Public Schools Official Withdrawal Request form. The withdrawal process may take longer if your student (s) have outstanding fees or school equipment. Upon submitting this request form, your student(s) must return, directly to their school, all of his/her textbooks, library books, uniforms, technology, musical instruments, and/or any other equipment provided to them by their school. Failure to return the previously mentioned will result in a delay in the withdrawal process.

Only the parent(s)guardian(s)/caretaker(s) who enrolled the student(s) may withdraw the student(s). Clayton County Public Schools must have a copy of your driver’s license or other state issued ID to begin the withdrawal process.

Email *

Date of Request *

YYYY

Name of Current School *

Student Name *

Date of Birth *

YYYY

Current Grade Level *

Student's Identification Number *

Please Select the Reason for Withdrawing Your Student *

I have moved out of school's attendance zone

I am moving out of state

I will homeschool my student

I have moved to another school district within the state

I am transferring my student to his/her zoned school of attendance

I am transferring my student to a private school

My student will pursue a GED

Name & Address, City & State of New School *

New Student Address, City & State *

Withdrawing Person(s) Name *

Address, City & State *

Home Number *

Work Number *

Email Address *

Time of Form Submission *

Time

OLR Staff Approval ONLY (Applicant DO NOT COMPLETE)

Submit

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