Mt. Zion CUSD #3 Junior High Remote Learning Request Form
Transition back from remote learning submitted with one week notice. After September 3rd, the remote learning request form will only be accepted twice per semester, unless the student has not yet requested the full day remote.
Student Last Name
Student First Name
Student Middle Name
Does your student have an I.E.P. or 504 plan?
Never submit passwords through Google Forms.
This form was created inside of Mount Zion Community Unit District #3.