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Sign Up for Academic Quarantine Support (4)
Please fill out this form if your child is in quarantine and you would like additional academic support beyond what the teacher can provide.
Academic support runs from 3:15-4:15pm.
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* Indicates required question
Email
*
Your email
Student last name
*
Your answer
Student first name
*
Your answer
Parent last name
*
Your answer
Contact number
*
Your answer
Who is your current teacher?
*
Your answer
Please indicate the date you would like assistance. Please note that this program runs Monday-Thursday and you must provide the school with 24 hour notice.
*
MM
/
DD
/
YYYY
Please indicate the date you would like assistance. Please note that this program runs Monday-Thursday and you must provide the school with 24 hour notice.
MM
/
DD
/
YYYY
Please indicate the date you would like assistance. Please note that this program runs Monday-Thursday and you must provide the school with 24 hour notice.
MM
/
DD
/
YYYY
Please indicate the date you would like assistance. Please note that this program runs Monday-Thursday and you must provide the school with 24 hour notice.
MM
/
DD
/
YYYY
Please indicate the date you would like assistance. Please note that this program runs Monday-Thursday and you must provide the school with 24 hour notice.
MM
/
DD
/
YYYY
Please indicate the date you would like assistance. Please note that this program runs Monday-Thursday and you must provide the school with 24 hour notice.
MM
/
DD
/
YYYY
Please indicate the date you would like assistance. Please note that this program runs Monday-Thursday and you must provide the school with 24 hour notice.
MM
/
DD
/
YYYY
Please indicate the date you would like assistance. Please note that this program runs Monday-Thursday and you must provide the school with 24 hour notice.
MM
/
DD
/
YYYY
I understand the following
*
It is the student's responsibility to complete work that has been assigned by the classroom teacher.
This is a support for students. The main mode of instruction will come from the classroom teacher for students to complete asynchronously.
My child will be in an environment that has as few distractions as possible for the support sessions.
I understand that when I click submit that a code will appear on the screen and I need to save that link.
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A copy of your responses will be emailed to the address you provided.
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