La Joya Independent School District Office of Student Services Dropout Prevention Division Leaver Reporting and Data Validation Audit Guide
Student’s Name : _______________________
Date: ___________________
Student ID: ____________________________
Leaver Code Assignment: _________
Verified by: ___________________________
Does the document have a date?
Yes
No
Does the document have a signature?
Yes
No
Did any non-qualify student sign?
Yes
No
Was an exit interview conducted?
Yes
No
Did the parent in their own handwriting indicated declaration and intent? Intent of withdrawal?
Yes
No
Has an administrator evaluated the documents?
Yes
No
Are there any conflicting reasons for withdrawal?
Yes
No
Were any wrong codes assigned?
Yes
No
Were any changes made to the state document?
Yes
No
Were changes made appropriately and within state standards?
Yes
No
Are any documents destroyed and not available for audit?
Yes
No
Are all your documents completed?
Yes
No
Additional Comments: _________________________________________________ _____________________________________________________________________ Verifying Signature: _____________________________
Date: _______________
Print Name: ___________________________________
Title: _______________ Published: 3-8-2012 Update 4-4-2012 Update 10/15/2013
