Parent Portal ACT Guide for Parents Chromebook & Technology Contact Directories EBR Parent University Magnet Program Quick Links School Counselers School Fees & Spirit Wear Request Forms OPEN LINES OF COMMUNICATION - CONTACT UPDATE FORM OPEN LINES OF COMMUNICATION Use this form to request updates to a student’s contact info (phone, email, spelling corrections, address, pickup permissions, etc.) Be specific about what needs to change. Enter only the fields that need updating. We may contact you to verify changes. Student First Name * Student Middle Name Student Last Name * Grade of Student: * 9th 10th 11th 12th OtherOther Which Contact do we need to update or add information for? * Student Mother Father Guardian Emergency Contact Other / Not Sure Student Resides with which Contact? * -select one-MotherFatherGuardianEmergencyNone Student Home Phone Student Cell Phone Student Mailing Address * Student Mailing Address Student Mailing Address Student Mailing Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Is the Student's Mailing Address different from their Physical Address? * Yes No Student Physical Address * Student Physical Address Student Physical Address Student Physical Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal If you are human, leave this field blank. Next Page Δ ACT Guide for Parents Chromebook & Technology Contact Directories EBR Parent University Magnet Program Quick Links School Counselers School Fees & Spirit Wear Request Forms OPEN LINES OF COMMUNICATION - CONTACT UPDATE FORM OPEN LINES OF COMMUNICATION Use this form to request updates to a student’s contact info (phone, email, spelling corrections, address, pickup permissions, etc.) Be specific about what needs to change. Enter only the fields that need updating. We may contact you to verify changes. Student First Name * Student Middle Name Student Last Name * Grade of Student: * 9th 10th 11th 12th OtherOther Which Contact do we need to update or add information for? * Student Mother Father Guardian Emergency Contact Other / Not Sure Student Resides with which Contact? * -select one-MotherFatherGuardianEmergencyNone Student Home Phone Student Cell Phone Student Mailing Address * Student Mailing Address Student Mailing Address Student Mailing Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Is the Student's Mailing Address different from their Physical Address? * Yes No Student Physical Address * Student Physical Address Student Physical Address Student Physical Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal If you are human, leave this field blank. Next Page Δ
