BTWA 2020-21 Elementary Learning Change Request
This form is to request a change in learning for your scholar for Distance learning to Hybrid (scholars attend in-person 2 days a week) or Hybrid to Distance Learning ONLY. Parent/Guardian will be notified via phone once the request has been approved. A change can take up to two weeks to be approved to ensure a safe transition. ONE SCHOLAR PER FORM PLEASE!!
Parent/Guardian Phone Number
Scholar's Current Teacher
What model change are you requesting?
Hybrid to Distance Learning
Distance Learning to Hybrid
Cohort A (scholar attends in person school Mondays and Wednesdays ONLY)
Cohort B (scholar attends in person school Tuesdays and Thursdays ONLY)
I have no preference in cohort
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This form was created inside of BOOKER T. WASHINGTON NEW HAVEN.