Student Intentions for 2021-22

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Complete this form ONLY if you will not be returning to Herndon Elementary School.

Student First and Last Name *

Grade *

Current Teacher *

Plans for 21-22 School Year *

Will be attending another Fairfax County Public School, private school or home schooling.

Will be moving out of the community.

Our plans are indefinite at this time. We will notify the school as soon as our plans are definite.

Required

If the students will be attending another school or moving to another community, please provide the name of the school or the name of the community.

Name and contact information for parent/guardian completing this form. *

Students who are going to attend a different school should contact that school to inquire what is needed to register your student.

Records will be sent upon the request from the new school.
If you have any questions, please contact Shermin Sirajudin at ssirajudin@fcps.edu.

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Fairfax County Public Schools. Report Abuse