Department ofEducation

Request A Placement File Be Sent

  1. Today's Date
  2. Month & Year Graduated
  3. Full Name
  4. Previous Last Name
  5. Social Security #

Current Contact Information

  1. Street Address
  2. PO Box
  3. City,State, Zip
  4. Phone
  5. Alternate Phone
  6. Email
  7. Comments/Questions

Please send my Placement File to the Following School Districts (include addresses if out of the local area)