LTIS - Curriculum, Technology and Meals

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This form is a way for families to communicate what resources their students may need to be successful while participating in the Long Term Independent Study (LTIS) program.

Please complete this form for EACH of your students.

Email *

Is there another email you would like us to add to our communications? If so, please list it below. If there isn't, please respond "no". *

What is your student's legal LAST name? *

What is your student's legal FIRST name? *

What is your student's home school? *

We have decided not to proceed with LTIS and would prefer to have our student(s) attend school for in person instruction. *

Yes, we have decided not to proceed with LTIS at this time.

No, we would like to have our student(s) participate in the LTIS program.

What is your student's grade for the 2021-2022 school year? *

Does your student have a EUSD issued chromebook? *

Yes

No, we will need to check one out.

Do you have wifi challenges and might need to borrow a hotspot? (We have a limited number and these will go to students who have the most need.) *

Yes, we would like to borrow a hotspot.

No, our wifi works fine.

Would you like your student to participate in the school meal pickup program? *

Yes, please add my student's name to the list.

No, thank you.

At this time, what duration do you wish for your student to remain in the LTIS program? *

A copy of your responses will be emailed to the address you provided.

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