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Is this an add or a drop?
Add
Drop
Today's date:
Name of person submitting add/drop:
E-mail address of person submitting add/drop:
Student name:
Student home school
Program name:
Program location:
Effective date of add or drop:
Reason for drop - this is required for state reports:
The following information is required for "adds" only.
Preferred Program time - a.m., p.m., or other (if other, please specify)
a.m.
p.m.
Other:
Student's grade:
9th 10th 11th 12th
Comments:
