2016 Spring Empower Hour (6th)
This form will help determine your Empower Hour Classes starting on October 5th.
Sign in to Google to save your progress. Learn more
First Name *
Last Name *
Team *
Advisor *
Are you in Band ? *
A-Days
Please choose your 1st, 2nd and 3rd Choices for Empower Hour on A-Days.
Please be aware that you may be selected for a Math/Comm Art Catch-Up Group during this time.
(A-Days)1st Choice *
(A-Days)2nd Choice *
(A-Days)3rd Choice *
B-Days
Please choose your 1st, 2nd and 3rd Choices for Empower Hour on B-Days.
Please be aware that you may be selected for a Math/Comm Art Catch-Up Group during this time.
(B-Days)1st Choice *
(B-Days)2nd Choice *
(B-Days)3rd Choice *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of School District of Janesville. Report Abuse
Google Forms