Below is a screen shot of a Migrant Student Withdrawal / Re-entry Form.  Please select the file below to print and complete. Submit the completed document to the Migrant Dept.
Migrant Student Withdrawal/Re-entry Form
 

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MIGRANT STUDENT WITHDRAWAL / RE-ENTRY FORM

2011-2012

 

    According to the Texas Education Agency, this information must be submitted immediately to the New Generation System Specialist (NGS) every migrant student withdraws/ re-enters your school.                                   

 

 

Student’s Name: _______________________________Grade: ______ DOB________

 

Campus: __________________________Student ID #: _______________________

 

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Withdrawal Date: _______________ Re-Entry Date:_______________

 

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Moved to: _____________________________________________________________

(School/ School District)

 

Reason for Leaving: _____________________________________________________

 

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Form completed by: ______________________________ Date: ________________

 

 

IMPORTANT

 

In order to stay in compliance with TEA

As soon as student withdraws/re-enters, PLEASE forward the completed

Withdrawal / Re-entry form to:

Delia L. Lozano, NGS

                                                    FAX:  (210)  444-8145