Updated On[date-and-time]Updated By[User Name] [View History]
Effective Date of Change[Date] 
Approval Requested[True]Approval Status[Approved] [View History]

Student Details

Household Member[Full Name]School Name[Full Name]
School Type[field-value] 
Highest Grade Completed[field-value]Student Status[field-value]
Current Grade[field-value]Graduation Date[Date]
Special Program[field-value]Course Name[field-value]
Start Date[Date]End Date[Date]
Final Exam Date[Date] 

Work Study Details

Work Study[True]Reason[field-value]
Start Date[Date]End Date[Date]

Comments

[Comments]