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Secondary Student Withdrawal/Clearance Form

About this Form

Form number: 560-21

Audience:  School Staff

Last revised: April 2005

Related Forms

Form 565-4 - Student Permanent Withdrawal

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.

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