Change of Status Form Use this form to communicate organizational or substantive changes to your school. Name of Person Submitting Form:(Required)Your Position:(Required)PastorBoard MemberDirectorPrincipal / Head of SchoolOtherContact Email:(Required)School Name:(Required)School City/State:(Required)Change Request InformationPlease select from the list below what changes you are requesting to be made. Request for:(Required) Leadership Change School Name Change Church Name Change Adding Grade Levels Change of Capacity / Building Size Notice of Closure Request to Relocate Leadership ChangeWhat needs to be changed?Add LeadershipRemove LeadershipReplace LeadershipNew Leadership First & Last NameNew Leadership Email New Leadership PositionRemove Name/PositionDate this change takes effect(Required) MM slash DD slash YYYY School or Church Name ChangeNew NameSupporting DocumentsMax. file size: 32 MB. Date this change takes effect(Required) MM slash DD slash YYYY Capacity / Grade Level ChangePlease know that we are not able to issue a new certificate until measurements have been submitted to verify capacity increase. Will you be adding or removing classroom space?Adding ClassroomsRemoving ClassroomsWhat is the width and length of the room(s)? Please give a brief description of changes being made.If multiple rooms, please identify each room individually.Grade LevelsPlease list grade levels or ages being added or removed. Notice of ClosureIf your center is relocating, please complete a new application in the member portal. Closure SpecificsPermanent ClosureTemporary ClosureRelocating SchoolReason For ClosureDate Closure Will Take Effect(Required) MM slash DD slash YYYY
