Print this form and fill it out.
Have your principal sign it and fax (490-1274 ) or messenger it to
Don Pierson at the Central Office.

School:
__________________________________________________

Date:
__________________________________________________

Name:
__________________________________________________

Position:
__________________________________________________

Telephone:
__________________________________________________

SS# for employment verification of individual responsible for web space:
_____-_____-_______

Email Address: ______________________________________

Program that will be used to upload files: ___________________________________________________

Signature of school/dept. webmaster: ___________________________________________________

Signature of school principal or dept. supervisor: ___________________________________________________

You will be contacted by phone with your username and password.
Email questions to dpierson@pcssd.org, PCSSD Webmaster.
An online form will be available soon.