BES Request for Instructional Placement Change, April, 2021 / BES Pedido de cambio de Instruccion, Abril, 2021

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Please complete a separate for each student for whom a change is being requested. Form is not needed if a change is not being requested. / Por favor complete un formulario diferente por cada alumno para quien solicite el cambio. Este formulario no es necesario si usted no esta solicitando un cambio.

Student Last Name / Apellido del Estudiante *

Student First Name / Nombre del Estudiante

Student Grade Level / Nivel de Grado del Estudiante *

Kindergarten

1st

2nd

3rd

4th

5th

Teacher Name / Nombre de la Maestra *

I would like to request the following instructional placement change for my student: / Me gustaria solicitar el siguiente cambio de instruccion para mi estudiante

My student is currently being served in Virtual Academy and I would like to make a change for my child to participate in Face to Face instruction for the remainder of the 2020-21 school year. / Mi alumno es actualmente Academia Virtual y me gustaría que pase a Instrucción en Persona por lo que resta del año 2020-2021

My student is currently being served in Face to Face instruction and I would like to make a change for my child to move to the Virtual Academy instruction for the remainder of the 2020-21 school year. / Mi alumno es actualmente Instrucción en Persona y me gustaría que pase a Academia Virtual por lo que resta del año 2020-2021

Clear selection

For New Face to Face Students Only: Afternoon Dismissal for my Child / Para nuevos alumnos de Instruccion en Persona únicamente: Salida de la escuela de mi hijo por la tarde *

Bus / Autobus

Carpool / Carro

Walker / Camina

Offsite Daycare Van / furgoneta de guardería fuera del sitio

Other:

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