Spectrum High School & Middle School - STUDENT WITHDRAWAL & COMMENT FORM

This form acknowledges the withdrawal of your student from Spectrum High School or Spectrum Middle School. Once submitted your student is officially withdrawn, records will be processed, and classes can continue within another district. The feedback questions are optional, but we value your input. We wish you well.

Student's Name: Student's Name: First Last
Grade at time of withdrawal

Grade at time of withdrawal Grade 6 Grade 7 Grade 8 Grade 9 Grade 10 Grade 11 Grade 12
Student's final date of attendance at Spectrum: Student's final date of attendance at Spectrum: / MM / DD YYYY

May 24, 2024, is the last day of the 2023-2024 school year.
School transferring to immediately following withdrawal from Spectrum:
Address of school transferring to: Address of school transferring to:
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Student's first day of enrollment at
new school: Student's first day of enrollment at
new school: / MM / DD YYYY
Name of person completing this withdrawal form Name of person completing this withdrawal form First Last
Relationship to student:
Draw your signature into the box below.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Feedback for Spectrum regarding this withdrawal:
Reason for withdrawal:
If applicable, have you talked to your child's principal, advisor, or counselor about your decision?
What could Spectrum have done better to accommodate your child's needs?
What did you like best about Spectrum?
Do you have any suggestions for change or improvement?
Any additional comments:

Spectrum High School & Middle School - STUDENT WITHDRAWAL & COMMENT FORM

Spectrum High School & Middle School - STUDENT WITHDRAWAL & COMMENT FORM

Feedback for Spectrum regarding this withdrawal: