DLT Community Family Assessment
Please take a moment to answer some questions that will help us get to know your family, asses your needs, and find you the support you need.
School-aged Child(rens) name(s)
City, State, Zip
What grades are your children in? Check all that apply
TK or Kindergarten
What type of Distance Learning program is your child enrolled in?
Are you interested in enrolling in our an Academic Guide program? We can work with just the children in your household or with a social pod of up to 6 children. DLT does not create social pods, however parents can form pods by utilizing our forum and faceboook group to announce openings. Please note, you may start as Private and grow into a Pod with time. Which of the following best describes your needs?
Yes- Private (my household) for 1 - 3 siblings
Yes- Social Pod - up to 6 children
I'm not sure yet
Academic Guides work during school hours to help your child navigate through their virtual school. This includes sitting with them through zoom sessions, help with independent work, and supervise/engage children during break/meal times. Based on your child's school schedule and your childcare needs, which schedule best suits your family? We require a 3 hour minimum per day,, however we can accommodate more hours. You may select 2 - 5 days per week.
5 days a week 8:30am - 11:30am (AM schedule)
5 days a week 12:00pm - 3:00pm (PM schedule)
5 days a week more than 3 hours per day
4 days a week AM schedule
4 days a week PM schedule
4 days a week more than 3 hours
3 days a week AM schedule
3 days a week PM schedule
3 days a week more than 3 hours
2 days a week AM schedule
2 days a week PM schedule
2 days a week more than 3 hours
Are you interested in enrolling in our after-school Extracurricular program? Choose up to 3 options
Yes - Performing Arts
Yes - Sports
"Jugar en Espanol" Spanish Immersion Class
I'm not sure
Does your child require extra services or support? Please explain.
Help us understand your families needs as they relate to COVID-19 by making a selection below. This pertains to Academic Guides for Private and Pods, as well as Extra Curricular Classes. We recommend each family has open communication with their pod families and guide on their comfort level around masks and physical distance as cases change. Based on the current situation, please select all that apply
Guides and all children must always wear a mask and maintain 6 ft distance from each other at all times.
Guides and children may remove masks if keeping at least 6 ft apart
Guides must wear a mask at all times. Children may remove
Classes may take place indoors
Classes may only take place outdoors
I am open to hosting my pod
I am not able to host my pod
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