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Student Withdrawal/Transfer Information
PARENTS/GUARDIANS: Complete this form if your child is exiting the HUUSD altogether. Information requested is necessary for the State Board of Education.
*NOTE: Students who will home school but still attend an HUUSD school for ๐ค๐ฃ๐ ๐ค๐ง ๐ข๐ค๐ง๐ classes DURING THE SCHOOL DAY (even an elective) should ๐ก๐ข๐ง complete the form.
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* Indicates required question
Email
*
Your email
Student Name
*
(Last, First)
Your answer
School
*
Choose
Warren
Fayston
Waitsfield
Moretown
BPS
CBMS
HUMS
HUHS
Grade at Time of Withdrawal/Transfer
*
If during the summer, enter the grade just completed.
Choose
PK3
PK4
K
1
2
3
4
5
6
7
8
9
10
11
12
Student Address
*
Street, Town, Zip
Your answer
Date of Entrance
*
MM
/
DD
/
YYYY
Date of Withdrawal/Transfer
*
the last date your child will attend their HUUSD school
MM
/
DD
/
YYYY
Reason for Withdrawal/Transfer
*
Moving out of district
Approved for High School choice
Transferring to Early College
Transferring to private school
Unhappy with my childโs teacher
Childโs needs are not being met
Child is being bullied
Child will be home schooled for ALL classes during the school day
Student returning to resident district (e.g., preK formerly participating in Act 166)
Other:
My child will exit fully but still participate in extracurricular activities (e.g., sports, theatre).
*
Yes
No
Maybe
My child will exit fullyย for homeschool but continue with one or some academic classes.
*
Yes
No
Maybe
School transferring to
Your answer
Address of school transferring to
Street, Town, State, Zip
Your answer
By signing this form, I (parent/guardian) agree that:
Please check each box to indicate your agreement.
I understand the school regulations of attendance and give full consent to the withdrawal/transfer of the above named student.
I assume responsibility for my student to return all devices, textbooks, library books, and other materials and for fulfilling all obligations, financial or otherwise.
Parent/Guardian Signature
*
Your typed signature will serve as your legal signature.
Your answer
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