Request for Remote Learning

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This form allows parents to request to begin the process of having their student transition to remote learning. Please use a separate form for each student.

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Parent Name *

Parent Email *

Parent Phone Number *

Student Name *

Student Grade Level *

If the student is in the Lower School (PK-6th grade), please give his/her teacher's name.

Date you would like to begin remote learning *

ДД

ММ

ГГГГ

Date you expect to return to on-campus learning *

ДД

ММ

ГГГГ

Reason for requesting remote learning *

Student tested positive for COVID-19

COVID-19 symptoms awaiting test results

COVID-19 symptoms and no testing

Family member tested positive for COVID-19

Quarantined due to exposure to someone who has tested positive for COVID-19

To protect other members of your household who are high-risk for COVID-19 complications

To limit exposure from others who may be infected in light of upcoming trips, gatherings, events, etc.

Other illness

Другое:

Обязательный вопрос

Which of the following best describes the learning environment at your home? *

We have a stable internet connection/WIFI and a computer our student will be able to use for remote learning.

We have a stable internet connection/WIFI but would like to request to check out a school Chromebook (if available) for our student to use for remote learning.

We do not have a stable internet connection/WIFI at home.

Другое:

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Форма создана в домене Northpoint Christian School. Сообщение о нарушении

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