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Parent Survey
Please complete a separate form for each student attending Santana High School
* Indicates required question
Email
*
Your email
Parent Name
*
Your answer
Parent Phone Number
*
Your answer
Parent Email address
*
Your answer
Student Last Name
*
Your answer
Student First Name
*
Your answer
Student Grade Level
*
10th
11th
12th
Are you interested in sending your student to the on-campus, in-person afternoon sessions starting the week of April 26th? (access is subject to availability)
*
Yes
No
Other:
If you answered yes to the previous question, do you have a specific request for support for your student which is based on their current class schedule? (this information will support the development of the program)
Academic support in English, Math, Science, and/or Social Science
Access to elective course support
Access to skill building and/or social emotional support
Access to either selection above
Other:
Send me a copy of my responses.
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