Distance Learning/On Campus Learning Model Change Requests
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Email *
Campus *
Campuses are ordered alphabetically by last name
Student ID
Student Birth Date *
MM
/
DD
/
YYYY
Student's name (Last, First) *
LastName, FirstName
Student's Grade Level *
Parent/ Guardian Phone Number Update *
Ask for an updated parent/ guardian contact number.
Verify Mode of Learning Selected by Parent/ Guardian *
Ask parent/ guardian to verify whether their child will engage in DISTANCE learning or ON-CAMPUS learning.
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