For the following questions, please explain under comment for any “yes” responses.
To the best of your knowledge, has this student ever used any type of non-prescription/non-medicinal drugs, alcohol, or tobacco, even if only experimentally? *
Required
Comment
Your answer
Has this student ever been in trouble with law enforcement? *
Required
Comment
Your answer
Has this student ever been suspended, expelled, been placed on probation, or asked to withdraw from any school attended? *
Required
Comment
Your answer
Has this student ever skipped or repeated a grade? If yes, please specify which grade. *
Required
Grade skipped if applicable
Your answer
Grade repeated if applicable
Your answer
Has this student ever been evaluated, or referred for evaluation, for learning disabilities/difficulties? *
Required
Comment
Your answer
Has this student ever taken remedial or special education classes? *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of South Arkansas Christian School. Report Abuse