NYCSA Creation Assistance
If you need help creating the required NYCSA account, please fill out the form below. If you cannot come during the week during regular school hours, we will have time after school on certain days and also on Saturdays from 9:00AM to 1:00PM. Once we receive your submission, someone will contact you and set up an appointment with you.
Si necesita ayuda para crear la cuenta NYCSA requerida, complete el formulario a continuación. Si no puede venir durante la semana durante el horario escolar regular, tendremos tiempo después de la escuela en ciertos días y también los sábados de 9:00 a. M. A 1:00 p. M. Una vez que recibamos su envío, alguien se comunicará con usted y programará una cita con usted.
Sign in to Google to save your progress. Learn more
Email *
Your Last Name (tu apellido) *
Your First Name (su nombre) *
Full Name of Student (Nombre completo del estudiante) *
Telephone # *
Would you like to be contacted during the school day from 8:00AM to 4:00PM? (Le gustaría ser contactado durante el día escolar de 8:00 AM a 4:00 PM?" *
Required
Would you like to come sometime between 4:00PM and 5:30PM to the school for assistance? (Le gustaría venir en algún momento entre las 4:00 PM y las 5:30 PM a la escuela para recibir ayuda?) *
Would like to come on a Saturday between the hours of 9:00AM to 1:00PM? (Le gustaría venir un sábado entre las 9:00AM Y la 1:00PM?) *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of Susan B. Anthony Academy. Report Abuse
Google Forms