Kent ISD
Create Expulsion Notification Form

Truancy and Expulsion Form Submission
School Information
Student Information
Male Female
Yes  No
Yes  No
Please explain "Other" in comments section
Parent / Legal Guardian 1
Mr.  Mrs.  Ms. 
Yes  No 1

1If no, it is the school's responsibility to translate to the family.
Parent / Legal Guardian 2
Yes  No
Mr.  Mrs.  Ms. 
Yes  No
Yes  No 2

2If no, it is the school's responsibility to translate to the family.
Incident Details
 
* Enter any other significant dates in Additional Comments.
 
Date of Return to School or
First date eligible to apply for re-enrollment or
Permanently ineligible to apply for re-enrollment
State Mandated Expulsion or  Board Policy Expulsion or  Suspension
Yes  No
Yes  No
Yes  No
Yes  No

By checking this box, under penalties of perjury, I declare that I have examined this affidavit and any accompanying statements, and to the best of my knowledge and belief, they are true, correct and complete.

Back