2020/2021 Back to School Option Selection

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𝗣𝗹𝗲𝗮𝘀𝗲 𝗰𝗼𝗺𝗽𝗹𝗲𝘁𝗲 𝟭 𝗳𝗼𝗿𝗺 𝗳𝗼𝗿 𝗲𝗮𝗰𝗵 𝘀𝗰𝗵𝗼𝗼𝗹-𝗮𝗴𝗲 𝗰𝗵𝗶𝗹𝗱 𝗶𝗻 𝘆𝗼𝘂𝗿 𝗳𝗮𝗺𝗶𝗹𝘆. This selection is for the second semester of the school year. The second semester starts on 1/25/2021. Students can select their current learning model or make a switch. The online program (Graham Online Academy) is a time-intensive and rigorous program that takes parent support to be completed effectively. All information that you need regarding this decision can be found at the district website or clicking shorturl.at/deloI . It is very important that we have only one survey submitted for each school-age child in your home. Surveys are due Sunday, November 8th at 12:00 AM. **𝗔𝗻𝘆 𝘀𝘁𝘂𝗱𝗲𝗻𝘁 𝘁𝗵𝗮𝘁 𝗵𝗮𝘀 𝘁𝗿𝘂𝗮𝗻𝗰𝘆 𝗶𝘀𝘀𝘂𝗲𝘀, 𝗶𝘀 𝗰𝗿𝗲𝗱𝗶𝘁 𝗱𝗲𝗳𝗶𝗰𝗶𝗲𝗻𝘁, 𝗼𝗿 𝗯𝗲𝗵𝗶𝗻𝗱 𝗮𝗰𝗮𝗱𝗲𝗺𝗶𝗰𝗮𝗹𝗹𝘆 𝘄𝗶𝗹𝗹 𝗵𝗮𝘃𝗲 𝘁𝗼 𝗵𝗮𝘃𝗲 𝗮𝗱𝗺𝗶𝗻𝗶𝘀𝘁𝗿𝗮𝘁𝗼𝗿 𝗮𝗽𝗽𝗿𝗼𝘃𝗮𝗹 𝗳𝗼𝗿 𝗼𝗻𝗹𝗶𝗻𝗲 𝗹𝗲𝗮𝗿𝗻𝗶𝗻𝗴.

Student Name *

Student Grade Level (2020-2021) *

Kindergarten

1st

2nd

3rd

4th

5th

6th

7th

8th

9th

10th

11th

12th

Parent/Guardian Name *

Parent/Guardian Phone Number *

Parent Guardian Email Address *

During the 1st semester my child is (What is your child doing now?) *

attending in-person.

attending virtually through Graham Online Academy

𝟮𝟬/𝟮𝟭 (𝟮𝗻𝗱 𝗦𝗲𝗺𝗲𝘀𝘁𝗲𝗿) 𝗟𝗲𝗮𝗿𝗻𝗶𝗻𝗴 𝗦𝗲𝗹𝗲𝗰𝘁𝗶𝗼𝗻 *

Option 1 - My child will be attending school in-person.

Option 2 - My child will be attending virtually through Graham Online Academy with Graham Staff support. (*Must have reliable internet.)

Option 3 - My child will be home schooled, enrolling in another district, or another virtual option.

Internet Access *

Our family has reliable internet access in our home.

Our family has internet access but it is not reliable.

Our family does not have internet access in our home.

20/21 2nd Semester Transportation Selection *

My child will ride the bus each day.

My child will ride the bus on some days.

My child will not ride the bus.

If you select Graham Online Academy, please answer the following (THIS QUESTION IS FOR 2nd SEMESTER GRAHAM ONLINE ACADEMY STUDENTS) :

My child is on a IEP (Individualized Education Plan) or 504 (Section 504 Plan)

My child is not on a IEP (Individualized Education Plan) or 504 (Section 504 Plan)

Clear selection

Technology Needs THIS QUESTION IS FOR 2nd SEMESTER GRAHAM ONLINE ACADEMY STUDENTS

I have a Chromebook/PC for my child.

I need a device for my child.(Reminder - The district has limited technology available at this time.)

I currently have a Graham issued Chromebook.

Clear selection

Food Options (Pick-up Times and Dates To-Be-Determined) THIS QUESTION IS FOR 2nd SEMESTER GRAHAM ONLINE ACADEMY STUDENTS

We will be picking up the 5 breakfast and 5 lunch options each week.

We will sometimes be picking up the 5 breakfast and 5 lunch options each week.

We will not be picking up the 5 breakfast and 5 lunch options each week.

Clear selection

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