Request for Change of Instructional Model
If you would like to request a change of instructional model please fill out this form. (Please fill this form out once for each child you for whom you would like to request a change in instructional mode.)

A change of instructional model for students in Kindergarten through Grade Five may result in your child being assigned to a different homeroom teacher. We can not accept requests for specific in-person days for students moving from the Remote Academy into hybrid learning.

Any changes to your child's mode of instruction can take up to four weeks to process according to DESE guidance.

Thank you.

Email address *
Parent First Name *
Parent Last Name *
Student First Name *
Student Last Name *
Student LASID *
Student ID Number - This information has been emailed to all parents, or can be found in the SchoolBrains Parent Portal. Please email Mrs. Gibeault at for assistance if you can not find your child's LASID.
Student Homeroom *
How is your child currently enrolled: *
What change are you requesting for Trimester Two *
Please feel free to add any comments in this section.
A copy of your responses will be emailed to the address you provided.
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