Home Base/PowerSchool Parent Portal: Application for Access
Instructions:
Please complete all fields. Parent/guardians must complete form and provide picture identification. Once the form has been accepted and processed, the parent/guardian will receive information containing activation instructions for the new Parent Portal account. Follow the instructions provided to start using the account. Parents with multiple students in PCS must submit one form per student to the appropriate school(s). Please allow schools time to process the request.

Please Note: Parents must come to school and provide picture identification and will be given form. Forms will not be mailed or sent home through student.

Parent/Guardian Information
Parent First Name *
Your answer
Parent Last Name *
Your answer
Relationship to Student *
Home Phone
Your answer
Work Phone
Your answer
Cell Phone
Your answer
Street Address, City, State, Zip *
*Change in Address requires proof of residency. Address will not be updated until this is provided.*
Your answer
Email Address
Your answer
Student Information
First Name *
Your answer
Last Name *
Your answer
Date of Birth *
Your answer
Grade Level
Street Address, City, State, Zip *
*Change in Address requires proof of residency. Address will not be updated until this is provided.*
Your answer
Are there any legal restraints prohibiting a parent/guardian from having access to this student's data? *
If yes to the above question, which of the following will be provided as documentation.
*Documentation must be provided.*
__________________________________________________
I verify that I am the parent/guardian of the student named above. I understand that the Pitt County School System reserves the right to grant or deny access to the parent portal in accordance with the U.S. Family Education Rights and Privacy Act (FERPA). I aslo certify that I will advise my student's school of any issues resulting in a need for a change of access to student records. I agree to keep my password and the data contained within the parent portal confidential. I also agree that I shall make no attempt to alter or destroy data and will report to the school administration any attempts to do so or any security concerns that may arise. Failure to abide by the terms of this agreement will result in the termination of my account.
Parent/Guardian Initials: *
Your answer
Date *
MM
/
DD
/
YYYY
Submit
Never submit passwords through Google Forms.
This form was created inside of Pitt County Schools. Report Abuse - Terms of Service