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2122 FDMS Notification from Parent/Guardian for Distance Learning
Hafa Adai,
Please use this form to notify the school that your son will be opting for distance learning for the days indicated below. Use this form if you previously indicated that your son will be engaging face to face and you need to change to distance learning. This form must be submitted by a parent or guardian prior to the student engaging in distance learning.
We are allowing this option of online learning for the duration of first quarter. Please note that students may be required to come on campus to take quarter exams.
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* Indicates required question
Email
*
Your email
Parent/Guardian Last Name
*
Your answer
Parent/Guardian First Name
*
Your answer
Student Last Name
*
Your answer
Student First Name
*
Your answer
Year of Graduation
*
Choose
2022 (Senior)
2023 (Junior)
2024 (Sophomore)
2025 (Freshman)
Begin Date of Distance Learning
*
MM
/
DD
/
YYYY
End Date of Distance Learning
*
This form can be used to notify of an absence for at most a week at a time. A new form can be submitted if more days are to be used for distance learning.
MM
/
DD
/
YYYY
Reason for Distance Learning
*
Isolation or Quarantine (Student is expected to return when cleared.)
Medical Note (must be given to the front office)
Parent/Guardian Preference
Acknowledgements
Parents/Guardians of student above consent to this absence.
*
I consent to this absence.
Parents/Guardians of student above acknowledge that frequent absences may affect academic performance.
*
I acknowledge that frequent absences may affect academic performance.
Parents/Guardians will ensure that the student named above will obtain assistance and support despite not being on campus.
*
I will ensure that my student will get the proper assistance or support despite him not being on campus.
Parents/Guardians agree to ensure that the student is logged in at the appropriate time, dressed appropriately, keeps his camera on, engaged in the lesson without distractions, and submitting assignments as required by the teacher.
*
I will ensure that my student will engage meaningfully and meet the above expectations.
A copy of your responses will be emailed to the address you provided.
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