Change of Contact Form

Change of Contact Information Form

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Important: All requests must be made by an Authorized Contact listed in the scholar's record. For adult scholars (age 18+), this form must be filled out by the scholar.
Scholar's Name*

First NameLast Name
Scholar's Birth Date*

MonthDayYear
If you have more then one scholar please list the names below and their date of birth.
Parent or Legal Guardian's Full Name (If over 18, enter scholar's name.)*

First NameLast Name
Who is the designated Primary Learning Coach?
Please Select the Charter you are currently enrolled in:*

CCS- Los AngelesCCS-San DiegoCCS-YOLO
Please select the Program you are currently enrolled in:*

Options (Home Study) ProgramOnline Learning Program
Which contact information would you like to update?*

Email AddressPhone NumberAddress ChangeAdd an Authorized Contact (this person becomes the PRIMARY contact unless otherwise specified)18+ Authorization for Release of Scholar RecordsPronounLegal Name ChangePreferred NameOther
Please enter the updated information you would like to change below (new address, mailing address, or phone number) Note: To add a new Authorized Contact, you must provide the following details: full name, address, email, phone number, and relationship to the scholar.
Proof of Residency Instructions:

Please upload TWO proofs of residency that meet our requirements. You may also email them to compliance@compasscharters.org

The new residence address must be within the current school’s attendance zone. Please see the list of counties we serve here.

*McKinney Vento Notice*

IF YOU OR YOUR FAMILY LIVE IN ANY OF THE FOLLOWING SITUATIONS:
- In a shelter
- In a motel or campground due to the lack of an alternative adequate accommodation
- In a car, park, abandoned building, or bus or train station
- Doubled up with other people due to loss of housing or economic hardship
- Garage (Unconverted)
- I am a scholar under the age of 18 and living apart from my parent(s)/guardian.
- Your school-age children may qualify for certain rights and protections under the federal McKinney-Vento Act.
If you believe your children may be eligible, please complete a Housing Questionnaire so we can determine eligibility or contact the local liaison to find out what services and supports may be available.

Compass Charter Schools Local Liaison: Karla Gonzalez, Scholar Community Advocate Email: kgonzalez@compasscharters.org. Call or text at (805) 372-0620
By completing this form, you give permission for your parent(s)/guardian(s) to view and have access to your records.*

Yes, I would like to have the information about my education shared with the person(s)/agency indicated below.No, I do not want my educational information shared with anyone but me.
Which Address needs to be changed?

Physical Address (2 proof of residence documents are REQUIRED)Mailing AddressPhysical and Mailing Address
Enter the new information to be changed below. Example: New address, mailing address, phone number. To add a new Authorized Contact, you will need to provide their full name, address, email, phone number and the relationship to the scholar. **
Proof of Residence #1

Cancelof
Proof of Residence #2

Cancelof
Is this Authorized Contact a Parent or Legal Guardian?*
Authorized Contact Name
Relationship to Scholar
Authorized Contact Address
Authorized Contact Phone Number:*
Authorized Contact Email:*
Parent/Legal Guardian Education Level
Whose information needs to be updated?
Contact Phone Number*
Please enter a valid phone number.
Contact Email:*
If you need more than one item changed, please specify what additional contact information you need changed.
Additional Comments
Parent/Legal Guardian Signature. (If 18 and over, scholar's signature is required) *

Clear
Should be Empty:

Change of Contact Information Form

Please enter the updated information you would like to change below (new address, mailing address, or phone number) Note: To add a new Authorized Contact, you must provide the following details: full name, address, email, phone number, and relationship to the scholar.