Request edit access
Roster Change Submission
Sign in to Google to save your progress. Learn more
Email *
Student First Name *
Student Middle Name
Student Last Name *
9 Digit SIS# *
If you do not know this number, you should be able to get it from your building SIS administrator.
Is this student in foster care, have they had DCFS involvement recently or are they staying with friends or relatives? If so, they may qualify for orphanage funding.  Please select "please verify....." if you are unsure. *
Please select which of these apply.  

Fund Codes N is for nonpublic students who have been evaluated and are NOT receiving services at this time.  Reporting this will ensure your district is receiving the appropriate nonpublic proportionate share funds from ISBE.  

Fund Code U is for public students who have been evaluated, have had their eligibility determined and are not receiving services this school year.  
Clear form
Never submit passwords through Google Forms.
This form was created inside of EIASE. Report Abuse