LEA Contact Update Form 2020-2021

Thanks for making sure that your contact information is accurate!

Please enter any relevant information that you'd like to change or update.

Be sure to click the "Submit" button when you are finished!

Name:*

First NameLast Name

If you have recently changed your name please list your name as it should appear in our records.

For the 2023/2024 school year, I am*

Remaining at my current work location. (please select below)Transferring to a worksite within LCPS (please select below)RetiringLeaving LCPS and working in another school divisionLeaving education entirely

My Worksite for 2023/2024:

My Position*

Subject/Grade Level

If Applicable

Bus Drivers and Attendants please select the location where you park.

I am no longer an employee of LCPS

RetiredChanged CareerChanged School DistrictOther

Home Address

Needs to be UpdatedIs Correct

Mailing Address:

Street Address

Street Address Line 2

CityState

Zip Code

Personal E-Mail Address:*

Confirmation Email

Phone Number

Needs to be UpdatedIs Correct

Home Phone

Area CodePhone Number

Cell Phone*

Area CodePhone Number

Please add any other information that we should know