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Request to Receive Independent Study Contract
Complete the following to receive your student's work while they are not attending school in person.
Complete this form for each child who will be absent.
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* Indicates required question
Email
*
Your email
STUDENT Last Name
*
Your answer
STUDENT First Name
*
Your answer
Grade Level
*
TK
K
1
2
3
4
5
6
7
8
Teacher's Last Name (Homeroom Teacher Grades 7&8)
*
Your answer
First Day of School Your Child Will Be Absent
*
MM
/
DD
/
YYYY
Last Day of School Your Child Will Be Absent
*
MM
/
DD
/
YYYY
Date Your Child Will Return to School
*
MM
/
DD
/
YYYY
Reason for the Absence *Provide as much detail as possible.
*
Your answer
Are you going Out of the Country? (iPad's not able to leave the United States)
*
Yes
No
Does your child have an IEP?
*
Yes (You must go in-person to office and see Ms. Bev for waiver)
No
Have you emailed your child's teacher(s) to alert them of your request for the ISC?
*
Yes
No *If not, email them now. Your child's teacher needs time to prepare the ISC work!
Other notes:
Your answer
A copy of your responses will be emailed to the address you provided.
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