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OGUE Request to Change Instructional Setting
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* Indicates required question
I request to change my current method of instruction to:
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Traditional
Virtual
Student's First Name (Legal name as it shows in school enrollment):
*
Your answer
Student's Middle Name (Legal name as it shows in school enrollment):
*
Your answer
Student's Last Name (Legal name as it shows in school enrollment):
*
Your answer
What grade will your student be in for the 2020-2021 school year?
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4th
5th
Parent/Guardian's First Name:
*
Your answer
Parent/Guardian's Last Name:
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Your answer
Parent/Guardian's Phone Number:
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Your answer
Parent/Guardian's Email Address:
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Your answer
Does your student receive any of the following services?
Special Education Services/Speech Therapy
504
English Language Learner
None of these services
By completing this form and typing my name below, I certify that I am the parent or legal guardian of the student named in the application. Please type your name below and submit the form.
*
Your answer
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