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Davis Elementary Request for Change in Learning Environment/Solicitud para Cambio de Entorno de Aprendizaje
Please complete this form to indicate your interest in changing learning environments for your student. (One form per student.) Favor de completar este formulario para indicar su interés en cambiar de entorno de aprendizaje para su estudiante (un formulario por estudiante)
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Email address/Dirección de correo electrónico:
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Your answer
Student First Name/Nombre del estudiante:
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Your answer
Student Last Name/Apellido del estudiante:
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Your answer
Grade/Grado:
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PK
Kindergarten
1st Grade/1er Grado
2nd Grade/2o Grado
3rd Grade/3er Grado
4th Grade/4o Grado
5th Grade/5o Grado
Student ID #/ Num. de ident. estudiantil:
Your answer
Campus/Escuela:
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Your answer
I am requesting a change from/ Solicito cambio de:
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Remote Learning to Traditional Learning/Aprendizaje a distancia a Aprendizaje tradicional
Traditional Learning to Remote Learning/Aprendizaje tradicional a Aprendizaje a distancia
I'm requesting a change beginning this 9 Weeks/ Solicito el cambio empezando con el siguiente plazo de 9 semanas:
4th 9 Weeks (Change will begin March 22, 2021) Request must be received by February 26, 2021./Cuartas 9 semanas (empezando el 22 de marzo, 2021) Se deberá recibir la solicitud para el 26 de febrero, 2021.
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Full Name of Legal Parent/Guardian (By typing your name, you give CFB permission to change your child's learning environment as noted above.) Nombre completo de padre/tutor legal (Al meter su nombre, le otorga a CFB permiso para cambiar el entorno de aprendizaje de su hijo según lo anterior)
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Your answer
Parent/Guardian Email/ Dirección de correo electrónico de padre/tutor
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Your answer
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