Application for Remote Learning Center at First Church in Sterling (K-8)
Thank you for your interest in your child attending the Remote Learning Center at First Church in Sterling, MA. The purpose of the remote learning center is to provide families with support while their child completes school work remotely. The center will provide support for children to do their independent work. Children will bring their own lunches, but we will provide safe time for recess and breaks.
Please fill out a separate form for each child.
Student's Name
Your answer
Student's Age
Your answer
Parent's Name
Your answer
Student's Grade (k-8)
Kinder
First
Second
Third
Fourth
Fifth
Sixth
Seventh
Eighth
Clear selection
Family's home address
Your answer
What school district and school does your child attend?
Your answer
Email Address
Your answer
Best contact phone number
Your answer
Known Allergies
Your answer
Known Health Issues
Your answer
What days would your child attend the Remote Learning Center? (select all that apply)
Monday
Tuesday
Wednesday
Thursday
Friday
Describe your child's specific health, behavioral, or educational needs.
Your answer
Are you in need of scholarship help? Please explain why? We have already awarded the scholarships that we had available at the beginning of the program, but might be able to find sponsors for a partial scholarship for your child.
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms