Redlynch State College eNewsletter

Student Exit Form

STUDENT EXIT FORM

Before leaving, all resources - including textbooks, library books and musical instruments - must be returned to the College. Refunds of pro-rata levies will be calculated once staff have approved this form (Please allow approx. 14 working days for this to occur). For refunds to be processed, your bank details will be required.

First Name *

Last Name

Year Level *

Date of Leaving School: *

Destination School - Please indicate name of the institution. If your child is going to be home schooled, please indicate which home school organisation student is registered with. *

Reason: *

IF STUDENT IS NOT TRANSFERING TO ANOTHER SCHOOL:

Undertaking further education/training: TAFE etc (If not yet 17 an interview with the DP is required)

Undertaking full time employment (must be working 25 hours or more per week) (if not yet 17 an interview with the DP is required)

If undertaking employment, enter Employer Name:

Employment Commencing on:

Should these circumstances change you are required to advise the school immediately as per the Education (General Provisions) Act 2006

BANK DETAILS

Please provide bank account details of the Parent/Carer who receives the college invoices to receive any applicable refunds.

Bank Account Name: *

BSB: *

Account No: *

I hereby give permission for any monies owing to Redlynch State College be deducted from the Textbook & Resource Allowance refund and give permission for any refund to be used to pay outstanding fees for any other family member remaining at this college. *

Undo

Clear

Write your signature above the line

Parent/Carer's Name Completing the Exit Form: *

Parent/Carer Completing the Exit Form's Mobile: *

Parent/Carer Completing the Exit Form's Email: *

For Office Use Only:

Exited on OneSchool_____________________

Laptop Returned_________________________

Library Books Returned __________________

Comments:_______________________________