EXITing Student Order

Your Program Name (required)

Email for Confirmation (required)

Student Name (required)

When a student is transitioning out of your program, classes can continue for 30 days free of charge if parent/guardian contact information is provided. If no parent/guardian information is provided or a value of ‘Withdrawal’ is selected then classes will cease to be available to the student on the effective date specified.

Transition type (required)
Transition to home (30 days free)Withdrawal (withdraw from classes)

Effective Date (required)

Parent/guardian contact information (if you marked yes above)

Do you need a copy of the student's transcript?
YesNo