NUAMES NORTH - Student Special Requests

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Please complete the form if you have special requests for neighborhood school class schedule, health plan, 504 plan, special education, or other special needs your student may have. NUAMES will contact you with further information.

Student Last Name: *

Student First Name: *

Student Date of Birth: *

YYYY

Parent Name: *

Parent phone number: *

Parent email: *

My student has the follow special request: *

Needs to update/create a 504 plan

Has an Individual Education Plan (IEP)

Needs to update/create a health care plan

Student intends to participate in a class or sport at another high school.

Other:

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