COVID-19 Self Certification Support for School Year 2020-2021
Reminder: You only need to self certify your student if he or she is learning in-person. Please complete this form if you are having any self certification issues. Someone will get back to you within 24 hours.
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Student Name *
First and last name
Student Grade *
First and last name
What are you having an issue with? *
Please provide a detailed description of the problem you are experiencing.   *
Are you CURRENTLY learning remotely or in-person? *
Phone number *
A number we can reach you in case we cannot resolve the issue through email.
Email *
To contact back
Who, at your house, should we contact about this issue? (student or parent name) *
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