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Employee Name *
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Employee School *
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Hoover
Nicholson
Hose
West Central
Willson
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Today's Date *
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Number of days to Quarantine *
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Start Date for Quarantine *
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YYYY
Final Date of Quarantine *
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DD
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YYYY
Dates to Work From Home: Please list each day (Ex: MM/DD, MM/DD, and MM/DD). Your dates must be approved by your principal before you use work from home leave. *
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*If approved, and you experience symptoms that prohibit you from performing your essential duties, let your administrator know and you may begin using available leave.
Prepare answers for the following questions then discuss with your principal.
Technology: Please describe your internet and technology capacity to work from home and to connect with your classroom. Speedtest.net will provide you with a measurement for your internet speed (We are looking for 25 Mbs as a minimum). *
Your answer
Virtual Presence: Teachers are expected to have a virtual presence for each class or group to provide instruction while working from home. Please describe how you will be present for your class(es) or group(s). *
Your answer
Instructional Engagement: How will you engage students in active learning through a variety of instructional methods and strategies. *
Your answer
Availability: How will you be available during the work day to respond to students, substitute, and other staff during school hours? *
Your answer
Substitute Assistance: What tasks will your substitute have to perform for you to complete your essential duties? *
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