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Parent/Student Assistance Needed Form
Please use this form to request assistance with remote learning.
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* Indicates required question
Student First and Last Name
*
Your answer
School of Attendance
*
Newmarket Elementary School
Newmarket Junior High School
Newmarket Senior High School
Parent/Guardian First and Last Name
*
Your answer
What is the best way for us to respond?
*
Provide a phone number or email address
Your answer
Please complete this question if your child will receive school lunch during remote learning.
Check the box for each day your child will receive school lunch. Week of 6/15-19/2020
Monday - Managers choide
Tuesday - Managers choice
Unable to travel to school to access
School meals
Remote learning packets
Both
Clear selection
Technical support needed
Please select all that apply
Issue with Chromebook
Connectivity Issues
Both
Other:
Additional support needed
Please select all that apply
Classroom Teacher
Special Education Case Manager
Psychologist
Nurse
Counselor
Building Administrator
Art Teacher
Music/Chorus Teacher
Library Media Specialist
Computer Teacher
Physical Education Teacher
Newmarket Community Church Food Pantry
End 68 Hours of Hunger (NOTE: YOU MUST SEE FOOD SERVICE STAFF FOR PAPER FORM)
School Supplies (paper, pencils, etc.)
Other:
Please use the space below to enter any needs that were not listed above.
Your answer
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