Student Schedule Survey

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

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Student's Name *
Dylan Casey
BII Name *
Kiersten Castillo
Full Name of School *
Leichman CTC
School Street Address *
19034 Gault St.
School City *
Reseda
School Zip Code *
91335
School Phone Number *
8188815341
Classroom(s) *
15
Teacher(s) *
Pauline Goldfinger
What location do you meet your student at, when you start work? Ex: Classroom, Office, Bus *
Classroom/cafeteria
What location do you drop your student off, at the end of the day? Ex: Bus, Classroom, Office *
Bus
Work Schedule
Monday
Daily Schedule Ex: 8:00-2:30 *
08:30am-3:39pm
Lunch Time (BII) *
1:20
AM Break Time *
9:45
PM Break Time *
12:00
Tuesday
Daily Schedule Ex: 8:00-2:30 *
08:30am-2:37pm
Lunch Time (BII) *
12:45
AM Break Time *
9:30
PM Break Time *
11:30
Wednesday
Daily Schedule Ex: 8:00-2:30 *
08:30am-3:39pm
Lunch Time (BII) *
1:20
AM Break Time *
9:30
PM Break Time *
12
Thursday
Daily Schedule Ex: 8:00-2:30 *
08:30am-3:39pm
Lunch Time (BII) *
1:20
AM Break Time *
9:45
PM Break Time *
12
Friday
Daily Schedule Ex: 8:00-2:30 *
08:30am-3:39pm
Lunch Time (BII) *
1:20
AM Break Time *
9:45
PM Break Time *
12
Thank you for completing this survey.
Form Status: Approve

Draw Signature

Date 2024-02-01
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