Assessment for Ms. Rita's Class
Please complete one assessment form for each student.  All information you share is confidential.
Sign in to Google to save your progress. Learn more
Email *
Students Full Name
Preferred name to be called
Parents Name
Cell Phone
Physical Address
Which type(s) of device(s) will your child have access to for online classes? (Check all that apply)
Student's Birthday
MM
/
DD
/
YYYY
Student's Age
Which best describes the student's background with education?
Which classes would you like to enroll your student? (Choose as many as you like.)
What goals do you have for this student in Ms.Rita's Class(es)?
How do you feel the student will benefit from the classes you are choosing?
What are the student's interests/talents/hobbies/strengths?
Is there any other helpful information you would like to share about the student and these classes?
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy