West Elementary Learning Format Commitment Form 2020-21
Lubbock-Cooper ISD is excited to welcome students back on August 19, whether they join us for traditional learning or virtual learning. On July 22, parents and guardians received information on both learning formats. The virtual instruction option is being provided for our families who have health and safety concerns surrounding sending their students back to school. If you have not reviewed the details of both options, please visit
to read over the Reopening Guidelines.
LCISD parents and guardians are asked to select the return to school option that will best serve their child(ren). Every family must complete this form for every student in LCISD. In addition, please make sure you have completed the regular Online Verification process, which is a requirement for all LCISD students (
The Learning Format Commitment Form for 2020-21 must be completed by Friday, July 31, so we can begin planning how to utilize our staff to meet our learners’ needs. Once the commitment is finalized, students will be expected to remain in that same learning format for the first progress report period (three weeks), followed by opportunities to shift formats at the turn of each nine-week grading period.
Please have one parent/guardian submit the Learning Format Commitment Form for each student in your family. An individual form must be submitted for EACH child.
Student's first name (WEST ELEMENTARY student only):
Student's last name (WEST ELEMENTARY student only):
Student's incoming grade level :
Parent/guardian's email address:
Learning Format Selection
Traditional Instruction (in-class, face-to-face classroom experience)
Virtual Instruction (remote, online experience - internet access required)
My student will not be returning to Lubbock-Cooper ISD.
PLEASE ONLY COMPLETE THE FOLLOWING PORTION IF YOU HAVE SELECTED VIRTUAL INSTRUCTION FOR YOUR CHILD.
I am electing to have my student enrolled in at-home, virtual instruction through Lubbock-Cooper ISD. I have read and understand the guidelines for virtual instruction in Lubbock-Cooper ISD’s Reopening Guidelines including expectations for daily attendance M-F based on the traditional district calendar, time commitments for virtual instruction, internet access, assignment and grading expectations, as well as other expectations for students and parents outlined in the LCISD Student Code of Conduct, LCISD Student Handbook, the LCISD Grading Guidelines, LCISD Board Policy, and the LCISD Reopening Guidelines.
Is your student able to connect the district iPad to live video meetings and watch videos reliably while learning remotely?
Does your student have reliable transportation to get to a campus in order to connect the district iPad for live video meetings and watch videos reliably while learning remotely?
Please select the special services your child receives.
My child does not receive special services.
Gifted and Talented
If your child receives Special Education services, how is your child served?
My child does not receive Special Education services.
Inclusion/mainstream (served in regular classes with support)
Resource (pulled for specific subjects with a Special Education teacher)
Life Skills/Structured Learning/ECSE (formerly known as PPCD)
Receives speech and language therapy
If your child is receiving services for dyslexia, how is your child served?
My child does not receive services for dyslexia.
My child is served through mainstream (regular classes with accommodations).
My child attends dyslexia therapy and has accommodations (small group instruction).
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