Student Withdrawal Form

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This form is used to notify the Lenoir City Christian Academy about upcoming plans to withdraw a student from the academy. This form must be received a minimum of 30 days prior to withdrawal date for students in all programs.

Email *

Student Name *

Student Grade *

Last Day at LCCA *

YYYY

What aspects of LCCA met or exceeded your expectations? *

In what ways do you believe LCCA can improve? *

Reason for Withdrawal *

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