Request for Electronic Access to Grades ... - OKALOOSA …



| |Request for Electronic Access to | |

| |Grades and Attendance on the Parent Portal | |

| | | |

| |Information Systems Department | |

| |School District of Okaloosa County | |

| |120 Lowery Place S.E. | |

| |Fort Walton Beach, FL 32548 | |

| | | |

| |School Name:______________________________________ | |

|Student Name |Student ID# |

|      | |

|Student’s Address |Home Phone |

|      |      |

|Father’s Name |Work Phone |

|      |      |

|Mother’s Name |Work Phone |

|      |      |

|Student’s Email Address |

|      |

|Father’s Email Address |

|      |

|Mother’s Email Address |

|      |

I request a password to access my student’s grades and attendance on the Internet.

|Father’s Signature |Date |Mother’s Signature |Date |

| |      | |      |

You, as the parent or guardian, must return this form in person with a picture ID to the school’s main office to obtain a password. If you reside out-of-county and are unable to appear in person, please contact your child’s school to obtain the appropriate affidavit.

| | |

| | |

| | |

|Parent/Guardian Signature Date | |

| | |

| | |

| | |

|I hereby certify that the parent or guardian produced a | |

|picture I.D. or an Affidavit of Identity is on file. | |

| | |

| | |

| | |

|District Employee Signature | |

Office Use Only |Date Issued | |Date Provided | |Password Assigned | |

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MIS 4339

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