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Remote Learning Coach Needs Assessment
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* Indicates required question
Email
*
Your email
Parent name
Your answer
Best Email address for parent
Your answer
Student grade in 2020/2021 school year
Your answer
Why would you like to choose remote learning for your child?
Your answer
For the upcoming school year, would your child be placed in a group of students supervised, in your own home, or monitored remotely?
Placed in a home, supervised
Supervised in our own home, with other similar students
Supervised in our home with brothers and sisters
Remotely monitored by a learning coach
Other:
Clear selection
Does your child have an IEP, 504, or a learning need that needs to be addressed during the year?
Your answer
Is your student, or someone in your family, immunocompromised or at risk of catching COVID?
Yes
No
Clear selection
Are there any unique needs that your student or family is hoping to be addressed during the upcoming school year?
Your answer
Are you willing to have your name, location, and student grade shared with other families who are looking to build pods of their own?
Your answer
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