Part-Time/Vendor Learner Withdrawal Form

Learner Withdrawal Form

Refund 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.

Status

Part-time iLEAD Online classes

Last day at iLEAD *

Last day of school with iLEAD

Learner First Name *

Learner Last Name

Date of Birth *

Coach, Guide, EF, or Advisor Name

Parent/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Classes Withdrawn *

Please list which classes are being dropped or withdrawn.

Comments

If 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 *

Part-Time/Vendor Learner Withdrawal Form

Learner Withdrawal Form

Get yourself in gear with iLEAD Online right away!