Request edit access
Learning Model Selection - Fall 2020
Parents and Students - Please use the survey to select your Learning Model for the Fall.
Sign in to Google
to save your progress.
Student Grade in Sept.2020
Parent/Guardian Phone number
Please choose one option.
Option 1: Fully Remote Learning. (At home every day. Will not attend classes in school.)
Option 2: Blended Learning. Partially at school and partially at home. Current model is an A, B, C day schedule.
Option 3: Recommendations/Suggestions are welcomed. Please send a detailed email to
Checking this box serves as confirmation of my decision.
Never submit passwords through Google Forms.
This form was created inside of Bronx Collegiate Academy.