Remote Instruction Request Form
We ask families to commit to remote instruction in 3-week intervals starting February 1st to February 19th to help faculty with planning and classroom preparation. Please complete the information below to make your selection for remote or in-person instruction. You can reach out to Mr. Aaron Hawkins at a.hawkins@tmi-sa.org with any questions or concerns.
Parent Name
*
First Name
Last Name
Student Name
*
First Name
Last Name
What is your student's current grade level?
*
6
7
8
9
10
11
12
Are you requesting remote instruction or a move from remote instruction to in-person learning for your student?
*
Remote Instruction
In-person learning
Date effective to return to in-person learning?
*
Date effective to start remote instruction?
*
What factors are impacting your decision to choose remote instruction?
*
What changes need to occur to move your student back to in-person learning?
*
Submit
Should be Empty: