CHISD Withdrawal Request
Please complete this form if your student has moved and will NOT be returning to CHISD; this will allow CHISD to withdraw your student. Records will be sent to directly to the new campus/district once an official request is received.

You must complete a form for each student who needs to be withdrawn from CHISD.
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Student's Full Name (First and Last Name) *
Date of Birth *
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Student's Grade Level *
Student's Last Campus of Enrollment with CHISD *
Reason for Withdrawal from CHISD *
Required
Last Day on Campus *
This should be the last day your student was physically on a Cedar Hill ISD campus attending class.
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District/Program Student will be Enrolling *
Please list the FULL name of the school, city and state in which your student will be enrolling. This is needed to ensure records are forwarded efficiently.
Expected Date of Enrollment in New District *
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DD
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Return of CHISD Chromebook *
In March 2021, all CHISD students were checked out a Chromebook. Students who are leaving the district are required to turn in their Chromebook to the Beltline Enrollment Center; failure to turn in this device can lead to delay in receiving student records AND a fine charged by CHISD. The Chromebook must be turned back in before any withdrawal paperwork will be provided.
Withdrawal Acknowledgement *
Please ensure all the information is above is accurate; your student will be withdrawn from CHISD based upon the information provided and any misinformation can cause a delay in the forwarding of any records.
Relationship to Student *
Parent/Guardian Requesting Withdrawal (Full Name) *
Parent/Guardian Email Address *
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