STAR Virtual Learning Sign Up
Please complete the following form to sign up for Virtual Learning. Students may choose to enter and exit virtual learning on a monthly basis. The Virtual Learning program for SSA Families will mirror the lessons that are occurring in the classroom. Please feel free to contact Mrs. Leimeister or Mrs. Taphouse if you would like more information.
Sincerely,
Mrs. Leimeister
Email *
Student Last Name
Student First Name
Grade Level Fall 2020
Clear selection
Parent/Guardian Last Name
Parent/Guardian First Name
Parent/Guardian Primary Contact Number
Parent/Guardian Alternate Contact Number
Do you have access to internet?
Clear selection
Do you have access to a device?
Clear selection
Submit
Never submit passwords through Google Forms.
This form was created inside of State Street Academy. Report Abuse