Graduate School Educational Career & Licensing Services Placement Files Placement File Request
 



Placement File Request Form

Please fill out the form, below, to request that a placement file be sent.

If you are requesting that your placement file be sent to EdZapp, please mail or FAX the CredentialZapp cover-sheet to the Educational Career and Licensing Services office at 0615 SW Palatine Hill Road, Portland, OR 97219 or 503-768-6019 (FAX).

With questions regarding your placement file, please contact Sharon Chinn, Placement File Manager, at ecls@lclark.edu or at 503-768-6008.

Your First Name
Your Middle Name (Optional)
Your Last Name
Your Previous Name (Optional)
Social Security Number
Your Phone Number
Your E-mail Address
PLEASE SEND MY PLACEMENT FILE TO:
School or School District Name
School or School District Street Address
School or School District City
School or School District State
School or School District Zipcode
School or School District Contact Office/Person