Withdrawal Form & Survey

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Withdrawal Form & Survey

Please take a moment to complete the following Withdrawal Form & Survey questions and submit to the Admissions Office.

Student Information

How long have you been at Dalat? *

Last Day of School: *

Family Name: *

Children's Names and Grade Levels: *

Where will you be moving to: *

Do you know which school you’ll be transferring to? If so, which one: *

Would you like your child(ren)'s school transcripts and standardized test scores sent to his/her new school: *

School
Home
Pick Up (allow 1 week to process)

If you answered School or Home above, please provide the school or home address: *

We cannot send without this information.

Please provide your forwarding address: *

Your Email Address: *

State the reason for leaving Dalat International School: *

Rate your overall experience at Dalat International School: *

Are there any further comments you wish to share:

Refund Details

Please provide details to the Finance Office (accounts@dalat.org)

Thank you for your time and cooperation.

I confirm my intention to withdraw my child from enrollment at Dalat International School according to the date information recorded in this Withdrawal Form & Survey submission.

Parent's Name / Signature: *

Date Signed: *

Withdrawal Form & Survey

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