Request Form
Students fill in this form to request a new email, password reset, Pupipalth information or ID Card. Please allow 1-2 days for the information to be process. The information can be email or pick up during lunch 4/5 periods only. Any question, please me Mr. Clemente in the Library Room 132B
Email address
First Name:
Your answer
Last Name
Your answer
Class Code
Your answer
Please choose all that apply
Required
OSIS # * your nine digit student ID number
Your answer
DOB- Date of Bith
Your answer
Grade Level
Your answer
Email where reset information or instruction could be sent (your personal email)
Your answer
Submit
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