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Beyond the School Day Survey
To help us plan for the upcoming school year, please complete this form by August 23, 2019.
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* Indicates required question
Student Name (First AND Last Name)
*
Your answer
Grade in September 2019
*
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Subject Areas(s) Identified for Intervention
Math
Language Arts
My child is available to participate in the before-the-school day program which begins at 7:10am on Tuesdays and Thursdays for an identified period of time. By checking yes, I also understand that I would need to provide transportation for my child to school for participation in this program.
*
Yes
No
Required
My child is available to participate in the after-the-school day program which runs on Tuesday and Thursday from 2:30 PM- 3:20 for an identified period of time. By checking yes, I also understand that I would need to provide transportation home for my child from school for participation in this program.
*
Yes
No
I would prefer for my child to receive services during the school day.
Yes
No
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