INSTRUCTIONS: Use this form when a student is withdrawing from school during the school year. Complete MCPS Form 565-4: Educational Interview for Student Permanent Withdrawal for students who withdraw on codes: 30, 31, 32, 33, 34, 35, 36, 38, 39, 40, 42, 44, 46, 50, 71.
Forms require Adobe Acrobat Reader 8 or higher. Get Acrobat
