Chamberlin Learning Environment Selection (Selección de Entorno de Aprendizaje de la Escuela Primaria Chamberlin)

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This form is for students at Chamberlin Elementary only. If your student is on a different campus please choose the applicable link below to complete the correct form. (Este formulario es solo para estudiantes de la Escuela Primaria Chamberlin. Si su estudiante está en un campus diferente, por favor elija el enlace correspondiente a continuación para completar el formulario correcto.)
http://bit.ly/CentralLearningEnvironment
http://bit.ly/HookLearningEnvironment
http://bit.ly/GilbertLearningEnvironment
http://bit.ly/HJHLearningEnvironment
http://bit.ly/SHSLearningEnvironment

Student First Name (Nombre de Estudiante) *

Student Last Name (Apellido de Estudiante) *

Student Grade Level (Nivel de Grado) *

1st

2nd

Teacher's Name (Current Homeroom) (Nombre de Maestra)

Please choose which option describes your student's CURRENT educational setting. (Por favor, elija qué opción describe el entorno educativo ACTUAL de su estudiante.) *

My student currently participates in "Virtual Learning" (Mi estudiante actualmente participa en "Educación Virtual")

My student currently participates in "Face-to-Face / On Campus Learning" (Mi estudiante actualmente participa en “Educación Presencial/En el Campus")

Please choose which educational setting you would like your student to participate in for the fourth six-week period (01-06-21 / 02-12-21). (Por favor, elija en qué entorno educativo desea que su estudiante participe durante el cuarto período de seis semanas.) (01-06-21 / 02-12-21) *

I am requesting my student participate in "Virtual Learning" (Estoy solicitando que mi estudiante que participe en el "Educación Virtual")

I am requesting my student participate in "Face-to-Face / On Campus Learning" (Estoy solicitando que mi estudiante participe en “Educación Presencial/En el Campus")

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