Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Tell Your Story/Cuente Su Historia
Do you have a child or student who may be denied/was denied graduation due to the LEAP test?
Share your story!
Tiene un hijo o alumno a quien se le puede negar o ya le negaron la graduación debido al examen LEAP? Comparte su historia!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
I am a...
Yo soy un(a)...
*
Parent of Affected Student/ Padre de Estudiante Afectado
Educator/Profesor(a)
Other:
First Name of the Student (or a Pseudonym)
Nombre del Alumno (o un Seudónimo)
*
Your answer
Parish of the Student
Parroquia del Alumno
*
Your answer
My child/student is...
Mi hijo(a)/alumno(a) es...
*
currently in 11th or 12th grade and needs the EXCELL Appeals Process to graduate. todavía está en el grado 11 o 12 y necesita el EXCELL Appeals Process para graduarse.
was denied a diploma because of the LEAP Test AND is currently in school after their expected graduation date. se le negó un diploma debido al examen LEAP Y actualmente está en la escuela después de su fecha esperada de graduación.
was denied a diploma because of the LEAP Test AND is NOT in school currently. se le negó un diploma debido a la prueba LEAP Y NO está en la escuela al presente.
not in 11th grade yet but is not a good test taker and would need the EXCELL Appeals Process/ Aún no está en el grado 11, pero no toma exámenes bien y necesitaría el EXCELL Appeals Process.
Other:
Required
Which exam is stopping your student from graduating?
¿Cu
á
l examen le impide su alumno para graduarse?
*
English I/II
Algebra I/Geometry
Biology/US History
None - they received the Covid waiver/ Ninguno - recibieron la exención de la Pandemia
Other:
Required
Tell us anything you want to share about your student/child.
What obstacles have they overcome?
What are their dreams after high school?
How would a high school diploma help them?
Cuéntenos cualquier cosa que desee compartir sobre su alumno/niño.
¿Qué obstáculos han superado?
¿Cuáles son sus sueños después de la secundaria?
¿Cómo les ayudaría un diploma de escuela secundaria?
Your answer
By submitting this information, I give permission for the student's story to be shared. The student will only be referred to by the name you gave us.
Al enviar esta información, autorizo que se comparta la historia del estudiante. Solo se hará referencia al estudiante por el nombre que usted nos haya proporcionado.
*
I agree / Estoy en acuerdo.
(Optional) By writing my email address below, I give you permission to contact me of any public opportunities to share my child/my student's story.
(Opcional) Al escribir mi correo electrónico en la siguiente linea, le doy permiso para contactarme sobre cualquier oportunidad pública para compartir la historia de mi hijo/estudiante.
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Cheruba Sophia Chavez.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
