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Senior clearance form 2026

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  1. Click ‘Get Form’ to open the senior clearance form in the editor.
  2. Begin by entering your name and birthdate in the designated fields at the top of the form.
  3. Indicate whether you plan to participate in the graduation ceremony by circling 'YES' or 'NO'.
  4. Fill in your local number and UID number as required.
  5. Ensure you obtain all necessary signatures. Start with your teacher's signature, noting your status in their class (PASS/FAIL).
  6. Continue obtaining signatures in numerical order from textbooks, library, athletics, finance, and counselor as listed on the form.
  7. Once all signatures are collected, return the completed form to Ms. Mallard in the Counseling office by 12:00pm on Friday, May 22nd.

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Related links

Patient Documents and Forms

Visit the Medical Clearances page for information on how to use these forms. Available to download from this page: Age 12 and Older DS-1622: Available on

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UNDERGRADUATE SENIOR CLEARANCE FORM

this form is completed and submitted to the registrars office prior to receiving graduation materials (cap and gown, diploma, final transcript, etc.).

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