* Required

Departure Notification Form for MS/HS

As your daughter will soon be leaving the International School of the Sacred Heart, kindly provide the following information to complete the departure process.

Daughter's Name*required

First Last

Grade/Homeroom*required

Last Day of Attendace at Sacred Heart (Tentative) (mm/dd/yyyy)

Last Day of Attendance at Sacred Heart (Confirmed) (mm/dd/yyyy)

Reason for departure*

Parent's transfer Transferring to other school in Japan Other

We are moving to:

City, Country

School applying to:

Name of the school

Parent's Name*required

First Last

Parent's Contact*required

Email address

School Reports

It is theresponsibility of parentsto keep and file copies of original reportsissued by Sacred Heart. If you need confidential reports for new school(s), please make contact with the Registrar.

High School Transcript (only for High School students)

Please indicate how you would like to receive your High School Transcript

If high school transcript is needed for college applications or summer programs, please contact Ms. Braun.

Email to me. Email to my new school. I will pick up a hard copy form school. Mail a hard copy to new school. Yes, I need a copy and will inform the address later No, I do not need a copy.

Email address to send the High School transcript to

Email Address

Mailing Address

Yearbook Request

This request is only for the students who leaves during the school year.

If you are leaving before the end of the school year, would you like a copy of this year's School Yearbook?

Yes No

How would you like to receive your copy?

Send a copy to the forwarding address in June Someone will pick it up from the Lodge in June

Please pay Y3,000 for overseas and Y1,000 for domestic delivery.

Forwarding Address

Name of the person who will pick up a copy of yearbook

Heath Form Request

Please contact the school nurse.

For information regarding tuition, contact Business Manager.

Feedback

We would appreciate your feedback.

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Please provide an email address where we can send a link to your current form.

Email Address :