Wyoming Hybrid/All-Remote Transition Request Form
To allow for optimal continuity of instruction and the time needed for administrators and teachers to make the arrangements to effectively serve the student, a parent/guardian must use this form to request a transition from in-person or hybrid learning to full-time remote learning or vice versa. Please note: transitioning a student to or from remote instruction may result in a change in teaching staff and/or instructional staff support, class schedule, classroom composition and social distancing, personal protective equipment and protective classroom equipment, and student transportation services.
***Transition from Full-Time Remote to Hybrid
A parent/guardian who wishes a student to transition from full-time remote learning to hybrid, in-person instruction must submit a request using this online form at least two weeks prior to the requested start date of hybrid learning.
-------Elementary: Request must be made by November 23 in order to start at the beginning of the second
Trimester on December 8.
--------Secondary: Request must be made two weeks before the first day of the month in which you wish to make
the change. (e.g. November 15 to begin December 1)
***Transition from Hybrid Learning to Full-time Remote
A parent/guardian who wishes a student to transition from hybrid instruction, in-person to full-time remote learning must submit a request using this online form at least two days prior to the requested start date of full-time remote learning so that teachers can be notified and schedules can be modified.
Please complete the form below. Required fields are marked with an asterisk *
I am requesting to:
Transition my child from Full-time Remote to Hybrid Learning
Transition my child from Hybrid to Full-time Remote Learning
Parent Last Name
Parent First Name
Student Last Name
Student First Name
Please select Grade Level
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This form was created inside of Millburn Township Public Schools.