RSU 57 Segment II Request Form (Due by September 30th)

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Per RSU 57's reopening plan, we are accepting requests for adjustments from 5-day a week remote learning to 5-day a week in-person learning. Completing a request is not a guarantee of in-person placement.

This survey is only for current remote learner families who are requesting a change to in person learning. Requests must be received by noon on September 30th and will be considered according to space in classrooms, on transportation, and in programs. Please complete a separate survey for each child in your home. Please know that we will continue to make every effort to accommodate your request/s. You should expect to hear back from us by Friday evening, October 2nd. Thank you!

Email *

Parent Last Name *

Parent First Name *

Student Last Name *

Student First Name *

Special Services *

My child receives IEP services at school.

My child receives 504 accommodations at school.

My child does not receive Special Services at school.

Town in which student resides *

My child is scheduled to attend the following school: *

My child is in grade: *

To maintain recommended distancing on buses, we will need as many families as possible to transport their student(s) to school. What are your transportation needs? *

I will arrange transportation for my child.

My child will need bus transportation.

My child will transport themselves.

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