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Spanish - Family Information
Students will receive a grade based on your completion of this form!
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* Indicates required question
Student Name
*
Your answer
Student's Class Period
*
1 - Spanish 4
3 - Spanish 2
4 - Spanish 3
6 - Spanish 1
7 - Spanish 2
8 - Spanish 1
Parent/Guardian(s) Full Name
*
Your answer
Parent/Guardian(s) Relationship to student
*
Your answer
Primary email
*
Your answer
Primary phone
*
Your answer
Preferred type of contact
*
email
phone
no preference
Does your student have any allergies that I should know about (food in particular)?
*
Your answer
Does your student have any behavior or emotional concerns that I should be aware of?
*
All information provided will be kept confidential!
Your answer
How would you rate the type of internet access that your student has at home?
*
Check any that apply, or explain your personal situation in the "other" section.
Full access to internet and devices at home
Some internet access at home, but it is unreliable
Some access at home, but it is dependent upon the amount of data left on a cell phone plan
No access at home, but student does have access to internet because of use of a family member, friend, or business (such as the library)
No internet access and no transportation to free internet access points (such as the library)
Other:
Required
What was your student's average Spanish/English grade last year?
*
A
B
C
D
F
Other:
Do you have any other comments, questions, concerns, or advice pertaining to helping your student achieve success in this course?
Your answer
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This form was created inside of Illini Bluffs CUSD #327.
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