Forms

Please see each section below to submit the appropriate forms. If you have any questions please contact the main office at 773-534-8130. Thank you.
Family Income Information / Fee Waiver Form 2020 - 2021
This information provides needed funding for our school.
All students/families must submit a form.
Even if you don't qualify, please submit a form with N/A. This helps us concentrate our efforts. Please note that we will soon begin assigning fees for various programs, and these forms determine fee waivers.
 
All fillable forms must have an original parent/guardian signature; an electronic signature is not acceptable. By signing these documents, you certify that you are authorized to complete the documents, and the information provided is true and accurate.
 
 
 
 
 
Use this online form to submit your updated emergency contact info.

Chicago Public Schools requires that all students are medically prepared for school. If you have not done so already, please turn in all completed forms as soon as possible.

Completed forms can be uploaded directly to the LPHS website (see upload link below), sent via email to pkosacka@cps.edu or tmsullivan2@cps.edu or faxed to (773) 534-8218. Please feel free to reach out to the LPHS nursing team with any questions.

Stay well,
Lincoln Park High School Nursing Team
Renee Lucas
Tara Winter
Patrycja Kosacka
Katrina Caruthers

 
 
 
 
 
 
If you did not receive the intent to return/learning model preference communication from the district please fill out the form below.