23-24 MUSD Digital Citizenship Lesson Verification

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MUSD needs to keep a record of the Internet safety and digital citizenship education you've provided. After you have taught a required lesson, please complete this Lesson Verification. Please complete one form for each lesson taught.

Email *

Record my email address with my response

Last Name (Teacher of Record) *

First Name *

Date Lesson was delivered *

Please submit a separate form for each lesson. Attendance records will be tied to each lesson taught. "Various dates" or date ranges are not acceptable responses.

YYYY

Benchmark Level *

Elementary School

Middle School

High School

School Site *

Grade Level Taught *

TK-2

3-5

6-8

9-12

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