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□ Other- __________________________________________________________________
□ Involuntary Withdrawal
□ Expelled
□ Attendance □ Terroristic Threats
□ Failure to follow school policies □ Child Protective Services Removal
□ Other- ______________________________________________________
Principal Signature- ____________ ___________, Dr. Marthea Raney
Superintendent or Designee Signature- ______________________, Cheryl Lawson
PEIMS Signature - _________________________, Regina Taiwo
Additional Information:
1. What is your main reason for withdrawing?
________________________________________________________________________
________________________________________________________________________
2. What did you like best about The Lawson Academy?
________________________________________________________________________
________________________________________________________________________
3. What did you like least about The Lawson Academy?
________________________________________________________________________
________________________________________________________________________
4. Would you recommend The Lawson Academy to others?
________________________________________________________________________
________________________________________________________________________
5. How would you rate you overall experience at The Lawson Academy?
________________________________________________________________________
________________________________________________________________________
6. How can we improve The Lawson Experience?
________________________________________________________________________
________________________________________________________________________
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