Nonpublic School Change Request Form - School Closure
This form must be submitted by April 1 of each year.
Section A - Primary Contact Information
Name
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Date of Request
*
-
Month
-
Day
Year
Date
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Section B - School Closure
Reason for Closure
*
Briefly explain the rationale for closing the school (e.g., declining enrollment, budget constraints, consolidation).
School to be Closed
*
Grade Levels Served
*
School Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Effective Date of Closure
*
-
Month
-
Day
Year
Date
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Section C - Supporting Documentation
Date of Board Approval
*
-
Month
-
Day
Year
Date
Upload your school's dated and signed board minutes indicating the approval of requested changes.
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Section F - Submission/Acknowledgement
Thank you for submitting your public school change request. The ND Department of Public Instruction will review your submission and contact you if any additional information is required. Please retain a copy of your responses for your records.
Signature
*
Submit
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