Request edit access
Kennebunk Alternative Education Parent/ Guardian Application
Sign in to Google to save your progress. Learn more
Your name *
Your phone number *
Your email address *
How would you like us to communicate with you? *
What is the best time of day for us to contact you? *
What is the name of your student who is applying for the program? *
Why do you think your student will benefit from this program? *
What are your students' strengths? *
What have been your students' greatest challenges academically and personally? *
What are you hoping that your student gets out of the program? *
Has attendance been a challenge for your student in the past? *
If you answered yes, what steps are you and your student taking to ensure better attendance moving forward?
Can you commit to supporting excellent student attendance in this program? *
Experiential Learning will require students to be out in various weather conditions as well as participating in activities for the greater good of the community. (i.e. volunteering in homeless shelters, working on farms, trail maintenance, hiking mountains, etc...). Can you commit to supporting student participation in this type of learning? *
If you answered "No" to either of the previous questions, please explain. *
Does your child have access to proper footwear and attire for cold, wet weather? *
Does your child have any dietary restrictions or allergies that we should be aware of? *
Is there anything else you would like us to know about your child? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of rsu21.net.

Does this form look suspicious? Report

Google Forms