Student Schedule Survey

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

Student's Name *
Marcus Morales
BII Name *
Amira Breiche
Full Name of School *
Chatsworth High School
School Street Address *
10027 Lurline Ave
School City *
Chatsworth
School Zip Code *
91311
School Phone Number *
818 6783400
Classroom(s) *
J68
Teacher(s) *
Ms.Stacey Nowak
What location do you meet your student at, when you start work? Ex: Classroom, Office, Bus *
Bus
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 *
8:30-3:30
Lunch Time (BII) *
12-12:30
AM Break Time *
9:30-9:40
PM Break Time *
1-1:10
Tuesday
Daily Schedule Ex: 8:00-2:30 *
8:30-2-05
Lunch Time (BII) *
No lunch
AM Break Time *
9:30-9:40
PM Break Time *
1-1:10
Wednesday
Daily Schedule Ex: 8:00-2:30 *
8:30-3:30
Lunch Time (BII) *
12-12:30
AM Break Time *
9:30-9:40
PM Break Time *
1-1:10
Thursday
Daily Schedule Ex: 8:00-2:30 *
8:30-3:30
Lunch Time (BII) *
12-12:30
AM Break Time *
9:30-9:40
PM Break Time *
1-1:10
Friday
Daily Schedule Ex: 8:00-2:30 *
8:30-3:30
Lunch Time (BII) *
12-12:30
AM Break Time *
9:30-9:40
PM Break Time *
1-1:10
Thank you for completing this survey.
Form Status: Approve

Draw Signature

Date 2024-02-01

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