2020-2021 School Year Learning Plan Choice Question Title * 1. Please enter your household information. Parent/Guardian Name Address City/Town State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code Email Address Phone Number Question Title * 2. Please enter the name(s) of all children in your household who you wish to particpate in FULLY VIRTUAL instruction for the 2020-2021 school year: Child 1 Child 2 Child 3 Child 4 Question Title * 3. Please read the requirements below to participate in the VIRTUAL ONLY learning plan model. By submitting this form, you agree to the following terms (Select All): I understand that my choice to enroll in VIRTUAL ONLY instruction is effective until the end of the first semster (January 2021). I will not be able to change instruction models until after that time. I understand that it is my responsibility to ensure my child(ren) have consistent access to a laptop or other technological device to participate in virtual instruction. I understand that it is my responsibility to ensure that my child(ren) have consistent access to the internet. I understand that it is my responsibility to ensure that my child(ren) have access to print assignments if needed. I understand that my child(ren) must have a quiet, and dedicated workspace. When you submit this form, your response will be recorded and your child(ren) will be enrolled to participate in VIRTUAL ONLY instruction. If you have any questions, you may call us at 904-764-0084 or email info@nfei.org. Submit