Brookman Elementary School - Request for Change of Student Placement
**No changes will be considered until after classes begin. Administration must review and and evaluate class structure and where room is available for changes.**
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Email *
Date (Fecha) *
MM
/
DD
/
YYYY
Student First Name (Nombre del estudiante) *
Student Last Name (Apellido del estudiante) *
Assigned Grade (Grado asignado) *
Assigned Teacher (Profesora asignada) *
Reason for requesting change (Razón para solicitar el cambio) *
First name of parent requesting change (Nombre del padre que solicita el cambio) *
Last name of parent requesting change (Apellido del padre que solicita el cambio) *
Parent phone number (Número de teléfono de los padres) *
A copy of your responses will be emailed to the address you provided.
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