Hillcrest Academy In Person Learning Survey

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In order to assist in our planning for a potential return to in person learning, we ask that you complete this survey at your earliest convenience.

Email *

Student First Name *

Student Last Name *

School: *

Hillcrest Academy North

Hillcrest Academy South

If Hillcrest Academy returns to in person instruction during the spring of 2021, I intend for my child to attend school in person. *

Yes

Uncertain (I would like to be contacted by my child's school to discuss further)

If at this time you are NOT considering in person learning and intend to continue with full time remote instruction, please check the box below indicating that you are agreeing to the following statement: I, the legal parent/guardian of the above-named student, acknowledge that I am submitting this request for fulltime remote learning for my child and understand that my child may transition to a different instructional model after 30-days of remote learning.

I Agree

Parent Name: *

Parent Email Address *

Date *

YYYY

FOR OFFICE USE ONLY: This form was completed by a school staff member.

Yes

Clear selection

Name of staff member completing this form (if applicable)

Submit

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