Please fill out the following form to complete your Change Request School Name: Contact Name Email Phone You can select multiple type change types by holding the ctrl key while selecting change types. Type of change:Change of CurriculumChange to School HeadChange to Emphasis or PhilosophyProgram (Addition/Deletion of Grade, L.D. Divisions, Etc.)Change to Physical PlantChange to School LocationChange to School NameChange to School Ownership Detail Description of Change: Please only fill out the following section if you have a Change of Head, thank you. New School Head: New School Head’s Email: Title: Effective Date of Position: Undergraduate Degree & Academic Major: Undergraduate College or University: Undergraduate Degree Year Earned: Graduate Degree & Academic Major: Graduate College or University: Graduate Degree Year Earned: Post-Graduate Degree & Academic Major: Post-Graduate College or University: Post-Graduate Degree Year Earned: For Change of Head please email the state office the new head of school’s resume and copies of their degrees to email@example.com.