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      "
    • Overview
    • About Our School
    • Administrator and Counselor Responsibilities
    • Principal's Weekly Messages
    • Faculty Directory
    • School Improvement
    • Calendars and Schedules
    • Careers
    • Enrollment
    • Contact Us
    • Brand Identity
  • Academics
      "
    • "I Need Help!" A Guide to Finding Assistance at LRHS
    • ACT Information
    • Adult Evening Education
    • AP Summer Assignments
    • Career & College Ready Graduates (CCRG)
    • Class Selection Verification and Changes
    • English I-IV Vertical Alignment
    • LRHS Exam Schedules
    • PreACT 2022
    • PSAT 2022
    • Sign up by 3/19 for 3/24 Make-up State Exams
    • SMART Lunch
    • Sophomores: Sign up by 4/9 for 4/14 PreACT
    • Departments
    • Advanced Placement (AP)
    • Game Design Academy
    • Credit by Demonstrated Mastery
    • Media Center
    • Multi-tiered System of Supports (MTSS)
    • PSAT, PreACT, and ACT 2023-24
    • Standardized Testing at LRHS
  • Athletics
      "
    • Spring 2019 Ticket to Play Registration
    • Fall 2015 Athletic Tryout Times and Information
    • Winter Sports
    • Spring Sports
    • Digital PAC Passes from www.gofan.co
    • Official LRHS Athletics Site
    • Athletics Information and Forms
    • Athletics Calendar
    • Pride Athletic Club (PAC) Annual Sports Pass
  • Activities
      "
    • Club Information, Courtesy of LRHS PTSA
    • Club Interest Meetings
    • Prom 2017
    • Prom 2019
    • Graduation 2019
    • Winterfest 2020
    • End Distracted Driving Event, 2/12/2020
    • LRHS Back-to-School Information
    • LRHS Underclassmen Picture Retake Day on Thursday, February 4
    • 2020-2021 Yearbook Deadline Extensions
    • A Virtual Christmas Carol
    • The Virtual Family
    • To Mend the Broken
    • Leesville Road Equity Community Book Study 2021-2022
    • And Then There Were None
    • Annie
    • Class of 2024 Seniors Beginning-of-Year Events!
    • Clubs and Organizations
    • Clubs Information
    • New Club Request
    • Buy Your Yearbook!
    • Band
    • Chorus
    • Dance
    • Literary Magazine
    • Newspaper
    • Orchestra
    • Theater
  • Students
      "
    • 2021 Homecoming Spirit Week: 10/12-10/15
    • 2022 Senior Wall Entries--Last chance to submit a design!
    • Fine Arts Materials Drop Off/Pick Up Information
    • January 2022 Exam Schedule
    • Jostens Orders for Class Rings, Caps, Gowns, and Senior Products
    • June 2022 Exam Schedule and Exam Expectations for All Courses
    • LRHS Senior Information: All Things 2020
    • LRHS Senior Information: All Things 2021
    • Powderpuff Game 2021
    • Pride Post: A Monthly Newsletter from Student Services
    • PSAT at LRHS on 10/13 for Interested 9th-11th Graders--Register and pay $18 by Friday, 9/10
    • Senior Assembly Information
    • Student Announcements
    • Student Collection and Distribution Days
    • Student Honor Code
    • Student Schedules in PowerSchool
    • Summer Mailings
    • Transcripts for LRHS Class of 2020
    • Virtual College Fair on 3/24
    • Wake County EMS - EMT Program Information and Application for 2020-2021
    • Student Services/Counselors
    • LRHS Senior Information: All Things Class of 2024
    • 2023-2024 Parking Pass & Off-Campus Lunch Applications
    • Career Development
    • Digital Resources
    • Drivers Education
    • Forms
    • LRHS Career Services Signup Genius
    • Meningococcal Vaccine Requirement for Seniors
    • PowerSchool/HomeBase
    • School Pictures
    • Student Device Program
    • Student Digital Portfolio Information
    • Student/Parent Handbook
  • Families
      "
    • BYOD & Technology
    • Student Honor Code
    • Summer Communications
    • Forms
    • Homework Resources
    • Online School Payments
    • Parent Booster Groups
    • PowerSchool/HomeBase
    • Principal's Weekly Messages
    • PTSA
    • School Meals
    • School Messenger Communication
    • Student/Parent Handbook
    • Transportation
    • Volunteer

Forms

Page Navigation

  • Forms
  • Leesville Road High School
  • Forms

     
    1) Authorization for Release of Records
     
    2) Mid-Year/Early Graduation Request Form
     
    3) PowerSchool Parent Portal Access

       a. Notary Form

       b. Hand-Delivery Form

       c. Quick Reference for PowerSchool Parent Portal

       d. Student Instructions to Claim or Reset your PowerSchool Account

    4) Presidential Volunteer Service Awards (PVSA) Application

    a. 2023 Service Award Info

    b. 2023 Service Award Application

    c. 2023 Student Service Record


    5) Release Form (Seniors only)

    6) Request for Excused Absence for Educational Reasons

    10) Scholarship/Military Report Form

    11) Student Contact Form

    12) Student Medical Survey Update Form

    13) Student Name and Photograph/Video Privacy Release Form

       a. PDF--English

       b. PDF--Spanish

       c. Word--English
  • Home
  • Our School
      "
    • Overview
    • About Our School
    • Administrator and Counselor Responsibilities
    • Principal's Weekly Messages
    • Faculty Directory
    • School Improvement
    • Calendars and Schedules
    • Careers
    • Enrollment
    • Contact Us
    • Brand Identity
  • Academics
      "
    • "I Need Help!" A Guide to Finding Assistance at LRHS
    • ACT Information
    • Adult Evening Education
    • AP Summer Assignments
    • Career & College Ready Graduates (CCRG)
    • Class Selection Verification and Changes
    • English I-IV Vertical Alignment
    • LRHS Exam Schedules
    • PreACT 2022
    • PSAT 2022
    • Sign up by 3/19 for 3/24 Make-up State Exams
    • SMART Lunch
    • Sophomores: Sign up by 4/9 for 4/14 PreACT
    • Departments
    • Advanced Placement (AP)
    • Game Design Academy
    • Credit by Demonstrated Mastery
    • Media Center
    • Multi-tiered System of Supports (MTSS)
    • PSAT, PreACT, and ACT 2023-24
    • Standardized Testing at LRHS
  • Athletics
      "
    • Spring 2019 Ticket to Play Registration
    • Fall 2015 Athletic Tryout Times and Information
    • Winter Sports
    • Spring Sports
    • Digital PAC Passes from www.gofan.co
    • Official LRHS Athletics Site
    • Athletics Information and Forms
    • Athletics Calendar
    • Pride Athletic Club (PAC) Annual Sports Pass
  • Activities
      "
    • Club Information, Courtesy of LRHS PTSA
    • Club Interest Meetings
    • Prom 2017
    • Prom 2019
    • Graduation 2019
    • Winterfest 2020
    • End Distracted Driving Event, 2/12/2020
    • LRHS Back-to-School Information
    • LRHS Underclassmen Picture Retake Day on Thursday, February 4
    • 2020-2021 Yearbook Deadline Extensions
    • A Virtual Christmas Carol
    • The Virtual Family
    • To Mend the Broken
    • Leesville Road Equity Community Book Study 2021-2022
    • And Then There Were None
    • Annie
    • Class of 2024 Seniors Beginning-of-Year Events!
    • Clubs and Organizations
    • Clubs Information
    • New Club Request
    • Buy Your Yearbook!
    • Band
    • Chorus
    • Dance
    • Literary Magazine
    • Newspaper
    • Orchestra
    • Theater
  • Students
      "
    • 2021 Homecoming Spirit Week: 10/12-10/15
    • 2022 Senior Wall Entries--Last chance to submit a design!
    • Fine Arts Materials Drop Off/Pick Up Information
    • January 2022 Exam Schedule
    • Jostens Orders for Class Rings, Caps, Gowns, and Senior Products
    • June 2022 Exam Schedule and Exam Expectations for All Courses
    • LRHS Senior Information: All Things 2020
    • LRHS Senior Information: All Things 2021
    • Powderpuff Game 2021
    • Pride Post: A Monthly Newsletter from Student Services
    • PSAT at LRHS on 10/13 for Interested 9th-11th Graders--Register and pay $18 by Friday, 9/10
    • Senior Assembly Information
    • Student Announcements
    • Student Collection and Distribution Days
    • Student Honor Code
    • Student Schedules in PowerSchool
    • Summer Mailings
    • Transcripts for LRHS Class of 2020
    • Virtual College Fair on 3/24
    • Wake County EMS - EMT Program Information and Application for 2020-2021
    • Student Services/Counselors
    • LRHS Senior Information: All Things Class of 2024
    • 2023-2024 Parking Pass & Off-Campus Lunch Applications
    • Career Development
    • Digital Resources
    • Drivers Education
    • Forms
    • LRHS Career Services Signup Genius
    • Meningococcal Vaccine Requirement for Seniors
    • PowerSchool/HomeBase
    • School Pictures
    • Student Device Program
    • Student Digital Portfolio Information
    • Student/Parent Handbook
  • Families
      "
    • BYOD & Technology
    • Student Honor Code
    • Summer Communications
    • Forms
    • Homework Resources
    • Online School Payments
    • Parent Booster Groups
    • PowerSchool/HomeBase
    • Principal's Weekly Messages
    • PTSA
    • School Meals
    • School Messenger Communication
    • Student/Parent Handbook
    • Transportation
    • Volunteer
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