MERIDIAN PUBLIC SCHOOL DISTRICT 2020-2021 Request for Online Learning

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PLEASE COMPLETE A SEPARATE FORM FOR EACH STUDENT

Request for Online Learning

NOTE: Students who choose to participate in online learning must complete the first quarter until the beginning of the second quarter. In order to be considered for online learning, you must first register your child.

It is my intent to enroll in the Meridian Public School District. *

Yes

I have read the expectations for online learning. https://bit.ly/3j7AEOA *

Yes

Name of student *

School attending during 2020-2021 school year *

Grade *

Reason for request *

Does your child have an IEP? *

Yes

Is your child enrolled in extracurricular activity? *

Yes

Please explain your response to the previous question *

I have an electronic device that may be used for online instruction. (Tablet, phone, computer, etc.) *

Yes

I have sufficient Internet capacity for my child to participate in online instruction through the use of Zoom, Google Meet, Canvas Studio, etc. *

Yes

I agree to monitor my child to ensure he/she completes assignments by the due dates. *

Yes

Name of parent/guardian *

Cell phone *

Signature of Parent/Guardian and Date (Type your name and the date in the box below to validate your answers to this form.) *

Submit

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