Benito Juarez Middle School Beginning of School Questionnaire

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Please fill out a form for each child who will be attending BJMS for the 2020-2021 school year.
(Complete un formulario para cada niño que asistirá aBJMS durante el año escolar 2020-2021).

Student Grade Level (Nivel de grado del estudiante) *

Parent/Guardian Full Name (Nombre completo del padre/guardián): *

Student Full Name (Nombre completo del estudiante): *

Student's ID Number (Número de identificación del estudiante): *

As we wait for our student computers to be delivered, please indicate how your child will participate in class during the first weeks of instruction. (Mientras esperamos que se entreguen las computadoras de nuestros estudiantes, indique cómo participará su hijo/hija en la clase durante las primeras semanas de instrucción). *

My student has internet service, an electronic device, and will participate using the Remote Learning format. (Mi estudiante tiene servicio de Internet, un dispositivo electrónico y participará usando el formato de aprendizaje remoto).

My student lacks internet service or a device to participate in Remote Learning and will need paper packets. (Mi estudiante carece de servicio de Internet o de un dispositivo para participar en el aprendizaje remoto y necesitará paquetes de papel).

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