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Get Form 341 Interdistrict 2012-2024

T First Middle School District of Residence School School District of Desired Attendance School School District Now Attending or Last Attended School Parent’s Name Reason(s) for request (see explanation on reverse side): (circle one) a. Senior Student Residential Address b. Continuing Student City/State/Zip Phone (home) c. Social Adjustment/Academic Adjustment Phone (work) d. Specialized Courses or Training (Specify) Email e. Change of Residence/or Planned Change of Address .

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