Elementary Instruction (Grades TK-5) - Family Commitment Survey

SLVUSD is planning to reinstate in-person instruction January 2021, under medium restrictions in the Orange Tier.

Medium Restrictions are as follows:

Student groups at 50% of normal size to minimize COVID19 exposure. We will require students to maintain social distancing of 6 feet in and outside of classrooms.
We will take temperatures of students & staff before entry onto campus, Health screening questions will also be asked.
Students and staff are required to wear face masks.
No large group gatherings will be allowed, including extra-curricular events.
Hand washing stations, soap, and sanitizer will be available.
Sanitizing and disinfecting protocols for all spaces and buses will be followed.

In Person Instruction - Please Provide the Following Information:

Fill out and submit a separate survey form for each individual student by Friday, November 20, 2020.

Question Title

* 1. Student's First and Last Name:

Question Title

* 2. Parent/Guardian's First and Last Name:

Question Title

* 3. Student's School:

San Lorenzo Valley Elementary

Boulder Creek Elementary

SLV Charter Elementary (Fall Creek, Quail Hollow)

Question Title

* 4. Student's Grade Level:

Transitional Kindergarten (TK)

Kindergarten

1st Grade

2nd Grade

3rd Grade

4th Grade

5th Grade

Question Title

* 5. What is the best daytime contact phone number for Parent/Guardian?

Question Title

* 6. Does your student have an IEP (Individualized Education Program)?

Yes

Question Title

* 7. Please Finish This Statement: If my student's school reopens for in-person instruction...

I want my student to return to the school campus, and I understand the following:
- The in-person schedule will allow students to come to campus to attend classes in-person on a part time basis, they will also be required to complete some work at home.
- Students will be required to wear masks.
- To accommodate the in-person and on-line program, my student may have a different teacher(s).
- If students are placed on an AM/ PM model, parents will not be selecting the schedule their student is on. It will be determined by the district.

I want my student to remain on 100% Distance Learning, and I understand the following:
- The current Distance Learning schedule may change in order to accommodate in-person instruction and online instruction.
- Students will remain in Distance Learning for the remainder of this school year.
- To accommodate in-person and distance learning choices, my student may have a different teacher(s).

Elementary Instruction (Grades TK-5) - Family Commitment Survey

Question Title

* 1. Student's First and Last Name:

Question Title

* 2. Parent/Guardian's First and Last Name:

Question Title

* 3. Student's School:

Question Title

* 4. Student's Grade Level:

Question Title

* 5. What is the best daytime contact phone number for Parent/Guardian?

Question Title

* 6. Does your student have an IEP (Individualized Education Program)?

Question Title

* 7. Please Finish This Statement: If my student's school reopens for in-person instruction...

Question Title

* 8. How can the District support your student with returning to on-campus programs?

Question Title

* 9. How can the District support your student in online programs?

Question Title

* 10. Please provide us with additional information you would like us to know.