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Tegeler Learning Format Change Request
Deadline to request change: Monday, January 4, 2021.
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* Indicates required question
Grade Level
*
Choose
7
8
9
10
11
12
Student's ID #
*
Your answer
Student's Last Name
*
Your answer
Student's First Name
*
Your answer
Current Learning Format
*
Choose
Face-to-Face Learning in School
Virtual Learning at Home
Requested Learning Format
*
Choose
Face-to-Face Learning in School
Virtual Learning at Home
Reason for wanting to change
*
Your answer
The counseling team will contact parents to confirm the change. Enter Parent's Name here.
*
Your answer
Parent's Phone Number
*
Your answer
Parent's Language Preference
*
Choose
English
Spanish
Will the student need bus transportation?
*
Yes
No
Other:
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