Madison Elementary (MES) Fall 2020 Learning Option Survey
Please answer the following questions assuming that we are still in Phase 4 of the MI Safe Start Plan (In-Person Learning is allowed) on September 8, 2020.
Student Name (First & Last) *
2020-2021 Grade Level *
Learning Option for Semester 1 of 2020-2021 School Year Selection: *
Do you have functioning Internet access in your home? *
Do you have a functioning device in your home that can be used for student learning? *
Does your child have any allergies? *
If you answered "Yes" to the above question, please describe allergies:
Please describe any health issues your child may have:
Is there anything you would like to share with the district at this time?
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This form was created inside of Madison District Public Schools.