Parent / Guardian Survey #1
In an effort to encourage good communication between home and school please share some information about you and your student. Your responses are private and only visible to me through the school server. They will only be used to benefit the students of my Biology classes. Each parent or guardian may fill out the form individually if they wish.

Thank you ever so much,

Amanda Bliss
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Email *
Which period does your student have Biology? *
Student's Last Name *
Student's First Name *
Your Full Name and Relation to Student. *
Your Email Address *
Best phone number to reach you at. *
What is your preferred method of communication? *
What language(s) do you speak at home and will you need translation services? *
Please list the name and contact information for any additional caretakers.
Please list the best days of the week and times to reach you. *
Tell me about yourself and your student.
Is there any information you think will help me better support your student to succeed in Biology class? This can include family history, medical information, accommodations, IEP, home language, friendship dynamics, discipline, past academic experiences, likes, dislikes, hobbies or jobs. Feel free to write anything that you are comfortable sharing with me.
This is a list of the required technology for class. Please indicate whether you have the supplies so we can follow up about any missing items. *
My student has this.
My student does NOT have this yet.
Chromebook or personal computer with a webcam and audio.
Reliable Internet access
Headphones (if needed to focus)
These are the online tools all classes will be using, how confident do you feel about using them? *
I know how to use this.
I can figure it out.
I need a little help.
I need a lot of help.
Parent Square
Schoology
Aeries
Zoom
Google Classroom
Google Drive
What supports do your students need to be successful in class?
Will your student have someone available to support them with technology and classwork outside of class?
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SYLLABUS AGREEMENTS: I have read the syllabus (found in the welcome letter) and understand the following policies.
OPTIONAL VOLUNTEER OPPORTUNITY - If you work in a field that relates to science, engineering, math, medicine, art or technology, ARE YOU WILLING to talk with me via phone, email, or Class Zoom as a guest expert in your field? Briefly describe how you would be willing to get involved.
Throughout the year, student will do research projects and present their findings to an audience. It is my goal to provide students with access to relevant experts from a variety of careers to interview and consult from time to time. Experts may also be asked to explain content, advise groups, or critique student work from their unique professional perspective. You would always receive contact from the teacher first to check your availability prior to any form of supervised student interaction.
If you know someone else who might fit the above description please list their occupation below and I will contact you for follow up if appropriate.
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