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EdPlan Exit Student Form
EdPlan Exit Student Form
Please fill out ALL information.
Student Last Name
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Date of Birth
mm/dd/yyyy
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Exit Reason
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01 Grad from Gen Ed w/ a HS diploma
02 Grad from Gen Ed w/ HS diploma&applied to univ
03 Grad from Alt. program w/ HS diploma
05 Completed Gen Ed w/ GED
06 Completed Gen Ed w/ other cert
07 Dropped out of school
08 Enrolled in another public sch district in MI
09 Moved out of state
10 Expelled from sch dist(no further services)
11 Enlisted in military/Job Corps
12 Deceased
13 Adjudicated
14 Enrolled in home school
15 Enrolled in non-public school
16 Unknown
17 Placed in a recovery or rehab program
18 Left Adult Education
20 Sp Ed-Received cert of completion
21 Sp Ed-Reached maximum age
30 Exited Early Childhood or Early On program/serv
IEP determined student no longer needs sp ed servi
Parent revoked consent for Spec Ed
Effective Date (Exit Date)
mm/dd/yyyy
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EdPlan Exit Student Form
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