Bender: Parent/Guardian Acknowledgement of Spring 2019 Study Hall Syllabus
ONLY A PARENT/GUARDIAN MAY COMPLETE THIS ACKNOWLEDGEMENT
Email address *
Student's Full Name *
Your answer
Parent/Guardian's Full Name *
Your answer
After reading the Study Hall Syllabus, I understand that... (choose as many as apply) *
Required
One thing I'd like Ms. Bender to know about my child/student is... *
Your answer
One thing about my child/student that makes me proud or that impresses me is... *
Your answer
Regarding my child this semester, I am most concerned about... *
Your answer
I have read and understood the policies and procedures as stated in the Study Hall Fall 2018 Syllabus. *
Required
I submit this acknowledgment as the legal parent/guardian of the student named above. *
Required
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Jefferson County Public Schools.