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Remote Learning Check - In
May 11 -15, 2020
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* Indicates required question
Email
*
Your email
Student Full Name:
*
Your answer
Grade Level
*
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
Today I am (check all that apply)
*
Happy
Excited
Sad
Nervous
Hungry
Silly
Tired
Lonely
Bored
Overwhelmed
Other:
Required
Give a few details as to why you feel that way.
*
Your answer
How is your remote learning going?
*
I am on track, and all my work is complete so far
I am doing ok, I have done some work, but still working on a few things
I have done a little, but I am definitely falling behind
I have hardly done any, because I have other responsibilities.
I have hardly done any, because I don't want to.
I have hardly done any, because I am so confused.
Today I am planning to (list school plan)
*
Your answer
Today I am planning to (list something fun you are going to do)
*
Your answer
It would be helpful if the following checked in with me. Check all that apply, we will do our best to check in with you today. You may also email the person.
*
Homeroom teacher
Reading teacher
Math Teacher
Speech/Language Teacher
Social Worker
Nurse
Principal
Dean of Students
After school teacher
Art/Music/PE teacher
I'm doing ok right now and don't need anyone to follow-up this week
Required
Best way to contact me
*
Email
Phone
Mail
Other:
Required
Send me a copy of my responses.
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