SC 401 Return to School Survey

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20-21

Parent/Guardian Name *

Address: *

City *

My child(ren) will be in the following grades *

Pre-Kindergarten

Kindergarten

1st Grade

2nd Grade

3rd Grade

4th Grade

5th Grade

6th Grade

7th Grade

8th Grade

9th Grade

10th Grade

11th Grade

12th Grade

ECE

Required

School buses will be limited to 50 riders who will be required to wear masks while riding the bus. *

My child(ren) will need to ride the bus to get to and from school

My child(ren) will be transported by personal vehicle

Please help us learn more about your internet connectivity at home. *

I have reliable internet at home

I have good internet but my data plan is limited

I have internet at home but the quality is poor and unreliable

I do not have internet access at home

The Illinois Department of Public Health (IDPH) and the Illinois State Board of Education (ISBE) have directed that the staff and students will have to wear face masks while at school. Keep in mind that remote learning must still ensure at least 5 clock hours of instruction or work for each student and work will be graded this year. Knowing this requirement, do you plan to send your child to school or opt to have your child participate in remote learning? *

My child will come to school for in-person learning.

My child will participate in remote learning.

My child will be homeschooling or attending a private school this school year.

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