OFFICE OF THE SUPERINTENDENT

Name: ______________________________________________________________

School or Location: ____________________________________________________

I acknowledge receipt of the schedule of the Placement and Appeal expulsion panel training dates and the dates I am scheduled as a panel member. I understand that my attendance at both is mandatory.

_____________________________________________  ______________________
       Signature                                                                   Date

RETURN TO PLACEMENT AND APPEAL OFFICE
EDUCATION CENTER, ANNEX 8
ATTN: MARGIE VELA

NO LATER THAN SEPTEMBER 8, 2000