Mrs. Blackwell's Online Parent Contact Form

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Dear Parents - Please fill out either this online form. Please feel free to e-mail me at kenya.blackwell@dpsnc.net if you have any questions or concerns. I am the only one who has access to this information. Thank you in advance for filling out this form in order to ensure accurate communication this year.

Student's Name *

In which course in this student enrolled? *

AP English III

ENG I

Parent 1 Name *

Emergency Contact/Parent 2 Name

Best Means of Contact for You? *

What range of hours is the best to reach you by phone? *

Parent/Guardian 1 E-mail/Phone *

Parent/Guardian 2/Emergency Contact E-mail/Phone

Student E-mail Address *

Language(s) spoken at home *

Is there ANYTHING you would like to share about your child that you feel I would need to know in order to better serve the needs of your child? Or maybe you would like to take this time to brag a little about your child. I love to learn new things about my students. :) *

Does your child have a cell phone? *

Yes

Will your child have access to the internet outside of school? *

Yes

I have read and understand the policies and procedures for Mrs. Blackwell's class for the 2019-2020 school year. *

Yes

I have read and understand the JHS Honor Policy. *

Yes

I need clarification. Please email me to arrange a conference.

If in AP ENG III: I have read and understand the College Board Statement on Falsification and Plagiarism. *

Yes

I need clarification. Please email me to arrange a conference.

Does not apply to my student they are NOT IN AP ENG III.

If in Freshmen ENG I: I have read and understand the HW Box/Study Hall policy for the Freshmen Academy? *

Yes

I need clarification. Please email me to arrange a conference.

Does not apply to my student they are NOT IN ENG I.

There are a few required supplies for my class. Are there any on the list that you will not be able to purchase due to financial hardship? (The list is located on my website and on the syllabus that was provided to your child in class. You can get to my site through the school web page under "Staff Directory") *

Yes

If you are not able to afford some of the required items on my supply list, please tell me here which ones they are. It is highly likely that I will be able to get you some assistance in order to satisfy the requirements. If you do not need assistance, please comment N/A. *

Type your names below to serve as a signature. *

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