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Badge Request Form
Please complete if you need a new badge.
Email address *
Full Name: *
Your answer
Work Location: *
Immediate Supervisor: *
Your answer
Position (Teacher, Custodian, Etc.): *
Your answer
Reason you are requesting a new badge: *
Your answer
Do you want to use the same picture that was on your old badge? *
A copy of your responses will be emailed to the address you provided.
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