Ms. Riehl's Google Hangout Counseling Request and Consent Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Parents/Guardians:

In order to move into a more virtual mode of teaching, learning, and counseling, we now have the option to engage in a Google Hangout with our students and/or our parents.

NOTES:
- Participants would need a Chromebook or other device (with Chrome sign-in capabilities) with the camera and microphone (built-in) enabled.
- Participants would need a quiet environment in which to sit while participating so they could listen and respond without issue.

***Please allow 24 hours for a response***

Email *

Student name *

Student school email address *

Parent name *

Indicate below whether you give permission for your child to participate in Google Hangout Meetings with Ms. Riehl. *

Yes

Please indicate the most preferable time slot for your child to participate in a 10-20 minute Google Hangout. (I will try my best to accommodate preferences.) *

9 a.m - 10 a.m.

10 a.m. - 11 a.m.

11 a.m. - 12 p.m.

12 p.m. - 1 p.m.

I do not give permission.

Required

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Marlboro School District. Report Abuse

Forms