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Return to In-Person Instruction Form
Please complete this form if you are requesting that your student stop Independent Study and return to in-person instruction at the physical school setting. Please understand that for elementary students, the student's assigned school will be determined by space availability. This means your student is not guaranteed space in their current school of enrollment and may be re-enrolled at another school upon request to return to In Person Instruction.

Your student will be able to return to in-person instruction in five (5) calendar days of the District's receipt of this form.
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STUDENT'S FIRST AND LAST NAME *
CURRENT SCHOOL OF ATTENDANCE *
STUDENT'S GRADE IN 2021-2022 *
DOES YOUR STUDENT RECEIVE SPECIAL EDUCATION SERVICES? *
DOES THIS STUDENT HAVE SIBLINGS THAT ATTEND SCHOOLS IN ALBANY USD? *
PARENT/GUARDIAN'S NAME *
ADDRESS *
PHONE NUMBER *
PARENT/GUARDIAN EMAIL ADDRESS *
Requested Date to Return to In-Person School
REASON FOR REQUEST *
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