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Staff Information Change

Staff Information Changes

Change of Name/Assignment/E-Mail/Phone Extention Form

Anita Kern

Please fill out the following form
and Click "Submit"
You may fill out the "Name" field and then only the
fields that you are needing changed.

The form will be automatically forwarded to Anita Kern at
millenniummom_2000@hotmail.com

Name:
(Required)

If this is a Name Change...Enter Previous Name Here

Your E-Mail

Your School Phone Number
217-625-2231 (Grade School)
217-625-2471 (High School)

Your Phone Extension

Your Teaching Assignment

Elementary
Junior High School
High School

Please include any other information you would like to pass along to me here.

Thanks,
Anita Kern

 

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