JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Student Reinstatement Form 26-27
* Indicates required question
Email
*
Record my email address with my response
Your Name
*
Your answer
TEACHER'S NAME
*
Your answer
Program
*
Academic
CTE
ESL
Class Section Number
*
Your answer
Course Title
*
Your answer
Student Last Name
*
Your answer
Student First Name
*
Your answer
Student SIS or DOB if you don't have the SIS number
*
Your answer
Please select one of the following options:
Please reinstate the student.
Please do not drop the student. They have informed me of their extended absence.
Clear selection
Notes
Your answer
A copy of your responses will be emailed to .
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of LAUSD.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
