Mr. Daniel Miller's Online Parent Contact Form

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Dear Parents - Please fill out either this online form or the paper form given to your child today in class. Please feel free to e-mail me if you have any questions or concerns. Only I will see and have access to this information. Thank you in advance for filling out this form in order to ensure accurate communication this year.

Email *

Student's Name *

In which course is this student enrolled? (Select all that apply.)

AP English IV

Russian I

Advanced Russian

AP Research

Parent 1 Name *

Emergency Contact/Parent 2 Name

Best Means of Contact for You? *

Parent 1 E-mail/Phone *

Parent 2/Emergency Contact Email/Phone

Student E-mail Address *

Back-up Telephone Number *

What range of hours is the best to reach you by phone? *

Is there any information that I should know in order to better serve the needs of your child? *

I have read and understand the policies and procedures for Mr. Miller's class in the 2019-2020 school year.

Yes

Clear selection

If in AP Courses: I have read and understand the JHS Honor Policy as well as the College Board Statement on Falsification and Plagiarism.

Yes

I need clarification. Please email me to arrange a conference.

Clear selection

If in AP Research: I have read and understand the the parameters related to feedback and student ownership of the research process. Please be sure to return hard copies of these forms.

I can't select an answer since I have to turn in these AP Research forms.

So, shouldn't I select that answer?

Or this one?

Is this a trap?

Clear selection

Type your names to serve as a signature.

Send me a copy of my responses.

Submit

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