Insight School Small Group Permission Form

We are excited to begin our student support discussion group this semester. This group will meet virtually through class connect once a week. The groups will meet for 8 sessions starting Sept 29th.

Groups are optional and attendance is optional each week depending on the topic and how it relates to you.

Learning Coaches/ Legal Guardians:  If you would like for your student to participate in a Small Group, please complete this form.  

If you are 18 or older you can sign the permission slip yourself.

If you have any questions, concerns, or if you would like to discuss your student individually, please do not hesitate to contact your students counselor.

Annie Noltemeyer     A-Gra            annoltemeyer@hoosieracademy.org
Jessica Griggs          Gre-Orn        jgriggs@hoosierademy.org     
Kristen Heckber        Oro-Z            krheckber@hoosieracademy.org

Sign in to Google to save your progress. Learn more
Student Last Name *
Student First Name *
Student Grade *
LC/Guardians Name *
I give permission for my student to participate in the Insight Small Group (s) they have chosen via the Small Groups Survey? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Hoosier Academy. Report Abuse