Student Account Request
Form will be used for creating all new student accounts


For email address below, "PLEASE" enter one of the following:      highschool@westernlocalschools.com
                                                                                                                  elementary@westernlocalschools.com
Sign in to Google to save your progress. Learn more
Email *
Student Name *
Student ID# *
Student Date of Birth *
MM
/
DD
/
YYYY
Grade student is currently in *
Homeroom and or classes needed for Iready *
Has student ever attended Western before? *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Western Local Schools.

Does this form look suspicious? Report