Innovation HS Learning Preference Survey

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Greetings! Please complete this form if you are electing to keep your scholar in FULL REMOTE Learning as we move into Phase 2 of our District Re-Opening Plan. This form can only be completed by a parent/guardian. Any questions, please contact the school. Thank you.

Email *

Student's First Name *

Student's Last Name *

Student ID Number *

Guardian First Name *

Guardian's Last Name *

Relationship to Student *

Mother/Father

Grandparent

Sister/Brother

Foster Parent

Agency

Ward of the State

Other Legal Guardian

Phone Number *

Address *

Apt/Suite/Floor

City *

Jersey City

State *

New Jersey

Zip Code *

I, the parent/guardian elect the following learning preference *

Remote Learning ONLY (no in person instruction)

Send me a copy of my responses.

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