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Application for Interim Instructional Services, Administrative Placement

About this Form

Form number: 311-15A

Audience:  MCPS Staff

Last revised: August 2016

This form requests services through interim instructional services due to an administrative placement of a student.  It should be completed and signed by an Associate Superintendent/designee and submitted to the Interim Instructional Services (IIS) Office in Room 251, CESC, or signed electronically and submitted (via the submit button on the form) to IISOffice@mcpsmd.org.  For questions, contact the IIS office at 240-453-2470.

Adobe PDF Application for Interim Instructional Services, Administrative Placement *105 KEnglish

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