Harper's In-Person / Distance Learning Request Form

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I am requesting my student begin instruction in the:
• In-person instructional model
• Distance Learning instructional model

In-person instruction placement requests will be reviewed by sites each Thursday in the order they are received. Families will be contacted on Fridays to confirm their change in placement. Students new to in-person learning will begin on Monday of any given week so that any reconfiguration to the classroom can be made.

Distance Learning requests will be honored by the immediately and teachers will be notified about the change in placement.

In-person and Distance Learner students should contact the school office and teacher if they will be absent. Absent in-person learners may access the day’s instruction through Distance Learning in coordination with their teacher.

Email Address *

Student Name (First and Last) *

Student Grade Level *

7th Grade

8th Grade

9th Grade

Parent/Guardian Name *

Parent/Guardian Phone Number *

I am requesting my student begin instruction in the: *

Distance Learning Instructional model (effective immediately)

In-Person Learning instruction model (Harper Staff will contact you with a start date based on space availability)

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