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Schedule Change Request Form
Email address *
Student Name (please list last name followed by first name) *
EXAMPLE: Bacon, Jake
Your answer
Student Current Grade Level *
Required
Student ID Number *
Your answer
Counselor *
Name of course you would like changed from your schedule *
Your answer
Select the period of the course you would like changed from your schedule *
Required
Please select the reason for the change *
List potential replacement class *
Your answer
Please list any additional comments/information
Your answer
Parent/Guardian APPROVE this change *
Best Contact Number of Parent/Guardian *
Please list Phone number XXX-XXX-XXXX
Your answer
A copy of your responses will be emailed to the address you provided.
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