Part-Time/Vendor Learner Withdrawal Form If you are human, leave this field blank.Learner Withdrawal FormRefund Policy iLEAD Online must be notified by submitting this form of withdrawal request no more than 14 calendar days from the first day of the iLEAD Online semester course start date. 2023/24 iLEAD Online semester course start dates: Semester 1: 8/19/2024 Semester 2: 1/14/2025 If a learner enrolls after the semester course start date, iLEAD Online must be notified by submitting this form of withdrawal request no more than 14 calendar days of the first day of enrollment. Track C July/August session courses must be dropped within 3 days in order to receive refund. This form serves as a written withdrawal request. StatusPart-time iLEAD Online classesLast day at iLEAD *Last day of school with iLEADLearner First Name *Learner Last NameGrade *TKK1st2nd3rd4th5th6th7th8th9th10th11th12thDate of Birth *Coach, Guide, EF, or Advisor NameParent/Guardian Phone *Parent/Guardian Email *Special Education *This learner does not receive Special Education services.This learner has an active IEP and is receiving Special Education services.This student has a 504 plan.Classes Withdrawn *Please list which classes are being dropped or withdrawn.CommentsIf you have any other comments to add, please put them here. Parent/Guardian OR Teacher of Record Signature **Type full name in box* By submitting this form, the parent/guardian or Teacher of Record understands the California Education Code requires any student subject to compulsory education to be enrolled in an educational program. According to the California Education Code 48201, any parent who removes their child from school must enroll them into another school. Furthermore, Code 48403 states with prolonged absence from such enrollment, the county superintendent of schools may request a petition on his behalf in the juvenile court of the county. The student should retain this form as proof of disengagement from iLEAD Online Charter School and present it to the school of transfer on the day of enrollment. Additional documentation is available upon request from iLEAD Online Charter School. A copy of this form will be kept in the student’s record at iLEAD Online Charter School.Captcha *reCAPTCHA is required.Submit