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USD 415 Remote Learning Assurances
Please complete the following form as you, the Parent/Legal Guardian of a student(s) in our district, agree to the assurances required when your student is in a remote learning environment. Completing this form will serve as your electronic signature. Please contact our office with any questions or concerns.
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First Name of Parent/Leagal Guardian
*
Your answer
Last Name of Parent/Leagal Guardian
*
Your answer
First and Last Name of Student 1
*
Your answer
First and Last Name of Student 2
Your answer
First and Last Name of Student 3
Your answer
First and Last Name of Student 4
Your answer
First and Last Name of Student 5
Your answer
First and Last Name of Student 6
Your answer
First and Last Name of Student 7
Your answer
First and Last Name of Student 8
Your answer
By checking each box below, you have read, understand, and agree to the following assurances.
*
Please mark each assurance.
I understand that my child(ren) may need additional support to complete assigned work, and to the best of our ability, our family will provide the needed support. Additionally, our family will provide supervision during the learning process.
I agree that my child(ren) are expected to be available to communicate with teaching staff on a regular basis as outlined by the school district.
If a student is unable to participate on any given day (illness or doctor appointment), I will notify the school.
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