Student Schedule Survey

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Please complete this survey regarding your students school information. Thank you.

Student's Name *
Evan gutierrez
BII Name *
Jessica torres
Full Name of School *
Canoga park middle school
School Street Address *
22250 elkwood st
School City *
Canoga park
School Zip Code *
91304
School Phone Number *
8187021200
Classroom(s) *
Homeroom 10 Period 1 Room 4 Period 2 Room 28 Period 3 Room 2 Period 4 PE Gym Period 5 Room 23 Period 6 Room 30
Teacher(s) *
Ms. Provost Ms. Garret Mr. Núñez Mr. Needham Mr. Gómez Ms. Clark Mr. T
What location do you meet your student at, when you start work? Ex: Classroom, Office, Bus *
In homeroom
What location do you drop your student off, at the end of the day? Ex: Bus, Classroom, Office *
No drop off he leaves once the bell ring
Work Schedule
Monday
Daily Schedule Ex: 8:00-2:30 *
08:00am-02:58pm
Lunch Time (BII) *
12:30pm-01:00pm
AM Break Time *
10:00am
PM Break Time *
2:20pm
Tuesday
Daily Schedule Ex: 8:00-2:30 *
08:00am-01:58pm
Lunch Time (BII) *
No lunch
AM Break Time *
10:00am
PM Break Time *
1:00pm
Wednesday
Daily Schedule Ex: 8:00-2:30 *
08:00am-02:58pm
Lunch Time (BII) *
12:30-1:00
AM Break Time *
10am
PM Break Time *
2:20pm
Thursday
Daily Schedule Ex: 8:00-2:30 *
08:00am-02:58pm
Lunch Time (BII) *
12:30-1:00pm
AM Break Time *
10:00am
PM Break Time *
02:20pm
Friday
Daily Schedule Ex: 8:00-2:30 *
08:00am-02:58pm
Lunch Time (BII) *
12:30pm-1:00pm
AM Break Time *
10:00am
PM Break Time *
2:20pm
Thank you for completing this survey.
Form Status: Approve

Draw Signature

Date 2024-02-01

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