EHS Approved Activity Request Form 23-24

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FOR PARENTS/GUARDIANS TO FILL OUT.

Students with Study Hall during periods 1, 4, 5 and 7 are eligible for Approved Activity in place of that study hall. By completing and submitting this form, you, as the parent, are indicating that you consent for your student to replace Study Hall with Early Release or Late Arrival for the 2023-2024 Spring Semester. You further understand that students with Early Release or Late Arrival cannot remain in the building during that scheduled period. Until you/your student hears from a School Counselor, they should follow their schedule as it is listed in Infinite Campus.

View the daily bell schedule at east.mmsd.org/about-us/schedule.

Contact your student's counselor with questions: https://sites.google.com/madison.k12.wi.us/ehscounseling/home/meet-the-counselors

Email *

Parent/Guardian Name *

Student ID Number *

Student Name *

I wish to have my student's (check all that apply): *

1st Hour Study Hall replaced with Approved Activity (class begins 9:02 a.m. on Mondays and 9:14 Tues-Thurs)

4th Hour Study Hall replaced with Approved Activity (leave at 10:55 a.m. on Mondays and 11:11 a.m. Tues-Thurs)

5th Hour Study Hall replaced with Approved Activity (leave at 12:20 p.m. on Mondays and 12:53 Tues-Thurs)

7th Hour Study Hall replaced with Approved Activity (leave at 1:50 p.m. on Mondays and 2:47 Tues-Thurs))

Required

My student's School Counselor is: *

Student's assigned School Counselor can be found in Period 10 of their schedule in IC.

Ashley Schuchardt (Olbrich)

Chris Micklos (Tenney)

Laura Gillis (Warner)

Michelle Olson (Yahara)

Sarah Elmore (AVID)

Robin Murphy-Sinha / Sharleen Diaz-Declert (English Language Learners/Bilingual Counselor)

A copy of your responses will be emailed to the address you provided.

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