Kindergarten-Grade 6 Families: 2nd Semester Virtual OR Onsite Change Request

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Families have the option to change placement for second semester learning. (virtual/onsite)

COMPLETE THIS FORM ONLY IF YOU ARE REQUESTING A CHANGE for your student(s) in KINDERGARTEN through 6TH GRADE. Do not fill out this form if you want your child to remain in their current learning environment.

Please complete this form by TUESDAY, NOVEMBER 24th. If you want to request a change for more than one child, you will need to complete one form for EACH child. Families who request this change should look for additional communication from school administration during the month of December.

Changes will be effective with the start of second semester, on January 4, 2021.

Email *

Student's First Name *

Student's Last Name *

Choose student's CURRENT placement (Semester 1) *

K-6 Virtual Program

Onsite at EDEN

Onsite at HARRIS

Onsite at JBS

Onsite at WESTON

Onsite at GIS

Onsite at MIS

Student's Current Grade *

Kindergarten

1st Grade

2nd Grade

3rd Grade

4th Grade

5th Grade

6th Grade

Change Requested for 2nd Semester *

I want my student to discontinue the virtual program and RETURN TO ONSITE learning at his/her home school.

I want my student to discontinue onsite learning and MOVE TO the full time VIRTUAL PROGRAM. I understand that my student will be engaging in a full day of at-home learning during second semester.

Reason for the requested change *

Change in Health / Safety concerns

Current setting is not the best learning environment for my child

Change in family dynamics/ability to support distance learning

Other:

Full name of the person filling out this form and relationship to the student *

Phone number for the best point of contact *

Submit

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