*Please complete this form if you do not want your student to take the Panorama SEL Survey *Por favor complete este formulario si no desea que su estudiante tome la Encuesta Panorama SEL

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San Jacinto Leadership Academy

Student Last Name / Apellido del estudiante: *

Student First Name / Nombre del estudiante: *

Student Grade Level/Nivel de grado del estudiante:

6th / 6º

7th / 7º

8th / 8º

Clear selection

*If your cadet is in 6th grade, please select which teacher your cadet has for their LEADERSHIP EDUCATION elective right now, this Spring. Choose only one. *Si su cadete está en 6º grado, por favor seleccione el profesor que su cadete tiene para su EDUCACIÓN DE LIDERAZGO electivo en este momento, esta primavera. Elija solo uno.

Mrs Still

Mrs Hansen

Mrs LaPera

Ms Fernley

Clear selection

*If your cadet is in 7th grade, please select which teacher your cadet has for their LEADERSHIP EDUCATION elective right now, this Spring. Choose only one. *Si su cadete está en 7º grado, por favor seleccione el profesor que su cadete tiene para su EDUCACIÓN DE LIDERAZGO electivo en este momento, esta primavera. Elija solo uno.

Mrs McKelvey

Mrs Holden

Mrs Sambrano

Mr Hilkey

Clear selection

*If your cadet is in 8th grade, please select which teacher your cadet has for their LEADERSHIP EDUCATION elective right now, this Spring. Choose only one. *Si su cadete está en 8º grado, por favor seleccione el profesor que su cadete tiene para su EDUCACIÓN DE LIDERAZGO electivo en este momento, esta primavera. Elija solo uno.

Mrs Gorosave

Ms Horne

Mr Vollmar

Mr Marais

Clear selection

Parent Name / Nombre del padre: *

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