Family Intent Plan for the Reopening of School -- Fall 2020

Question Title

* 1. Parent/Guardian Full Name

Question Title

* 2. Please share the full name(s) and grade level of your school-age child(ren).

Full Name - Child 1

Grade Level - Child 1

Full Name - Child 2 (if needed)

Grade Level - Child 2 (if needed)

Full Name - Child 3 (if needed)

Grade Level - Child 3 (if needed)

Full Name - Child 4 (if needed)

Grade Level - Child 4 (if needed)

Full Name - Child 5 (if needed)

Grade Level - Child 5 (if needed)

Full Name - Child 6 (if needed)

Grade Level - Child 6 (if needed)

Question Title

* 3. What school/schools will your child/children attend for the 2020-21 school year? (Check all that apply)

CES

FES

MVES

NBES

MRMS

RCHS

Question Title

* 4. After having considered the plans developed by RCPS and our schools, which learning model do you intend to utilize?

"Blended" Learning (2 days in school, 3 days digital/virtual)

100% Digital/Virtual Learning (Online from home) - Please understand that if this option is selected, you are committing to this selection for at least the entire first semester. Once selected, planning and logistics for social distancing, transportation, and other factors will not allow for convenient switching to blended learning.

Question Title

* 5. What is your current situation when it relates to internet access?

Internet access at home allows for live streaming, classroom instruction, real time interaction with teachers and classmates

Internet access at home is available but too slow for live streaming or real time interaction

Public connection NOT at home (school parking lot, coffee shop, fast food restaurant, recreation center, etc.)

No internet connection available

Other

Question Title

* 6. If "Blended Learning" was selected in Question 3, do you intend to use bus transportation?

Question Title

* 7. If you plan to use bus transportation, please clarify AM, PM, or both.

Question Title

* 8. If needed, AM Pickup address?

Address

Address 2

City/Town

ZIP/Postal Code

Question Title

* 9. If needed, PM drop off address?

Address

Address 2

City/Town

ZIP/Postal Code

Question Title

* 10. Current Home Physical Address

Name

Address

City/Town

State/Province

ZIP/Postal Code

Question Title

* 11. Current contact information. (It is essential that you provide current contact information as the school division will be increasing communication throughout the year through several platforms.)

Name

Email Address

Phone Number