ESE Placement

Please fill out the below form for your student(s) in order to help us with their ESE placement.

Student Name Student Name First Last
Pasco County Schools Student Numbers/Lunch Number
Student Grade Level 20/21 School Year

Student Grade Level 20/21 School Year Kindergarten First Grade Second Grade Third Grade Fourth Grade Fifth Grade Sixth Grade Seventh Grade Eighth Grade Ninth Grade Tenth Grade Eleventh Grade Twelfth Grade

Choose One.
Parent/Guardian Name Parent/Guardian Name First Last
Parent/Guardian Phone Number Parent/Guardian Phone Number - ### - ### ####
Parent/Guardian Email
I have received, understand, and accept the changes needed to enroll full time in the Pasco eSchool virtual program as detailed in the Pasco eSchool- Parentally Placed Student Notification and Election Form.

I have received, understand, and accept the changes needed to enroll full time in the Pasco eSchool virtual program as detailed in the Pasco eSchool- Parentally Placed Student Notification and Election Form. I agree
Please Contact Me

Please Contact Me I would like to be contacted.