Withdrawal Form

Download as pdf or txt
Download as pdf or txt
You are on page 1of 1

BELAIR HIGH SCHOOL

43 deCarteret Road, P.O. Box 179


Mandeville, Manchester
Tel: (876) 962-0216/2168
Email Address: [email protected]

WITHDRAWAL FORM

Please complete this form and return to the Business Office

This will facilitate the preparation of an official or unofficial transcript for your child(ren)

Parent’s Name: _________________________ Date:_______________

Date of Admission: _____________________ Tel: ________________

Student(s) Last Name First Name Current Grade


____________________ _______________ ___________

Reason for leaving: Transferred □ Migration □ Disciplinary□ Other □

Last Day of School: ___________________________________

School Transferring to (if known) ________________________________________

Parent’s Signature: _______________________ Date: ________________

DISCIPLINARY DATA ACCOUNT’S DEPARTMENT


Suspension yes / no □ All financial obligations met □
PSC /Balance Due □
Detention yes □ / no □
Amount $__________________
_______________ _________ _________ ________
Dean of Discipline’s Signature Date
Signature Date

ADMISSIONS & RECORDS DEPARTMENT

File Closed □ RENWEB Update □ Records Prepared □ Enrolment List Updated □


Transcript Prepared □ File Sealed (Outstanding Fees) □

LIBRARY INFORMATION
Books Returned □ Fines paid □
_________________ _______
Signature Date

______________________ ______________________
Principal 's Signature Vice Principal Signature

You might also like