Authorization To Access Site                                  
Complete this form in advance of site use. Authorization to Access Site during Non-School hours must be approved by Principal or Site Administrator to be on campus. *The school is equipped with intrusion alarms.
Email *
School/Site *
Required
Today's date *
MM
/
DD
/
YYYY
LAST NAME, First Name *
Position *
Required
Employee Number *
Cell Phone Number [e.g. 818-756-2700] *
Date(s) Requested: [e.g. 6/14/21] *
Hours Requested: [e.g. 3:30 to 5pm] *
Room/Office/Area Requested: *
Purpose of Access: *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of LAUSD.

Does this form look suspicious? Report