Student Schedule Survey

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

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Student's Name *
Keiran Tran
BII Name *
Bianca Hernandez
Full Name of School *
Richard Henry Dana Middle School
School Street Address *
1501 South Cabrillo Ave
School City *
San Pedro
School Zip Code *
90731
School Phone Number *
310-241-1100
Classroom(s) *
RM170 RM 519A P.E field RM 520 RM 517 RM 522
Teacher(s) *
Belch Bartleston Morales Rouillard Cortes Nakashima
What location do you meet your student at, when you start work? Ex: Classroom, Office, Bus *
Classroom (rm 170)
What location do you drop your student off, at the end of the day? Ex: Bus, Classroom, Office *
Classroom (rm 522)
Work Schedule
Monday
Daily Schedule Ex: 8:00-2:30 *
8:00-2:59
Lunch Time (BII) *
12:45
AM Break Time *
10:41
PM Break Time *
1:40
Tuesday
Daily Schedule Ex: 8:00-2:30 *
8:00-2:01
Lunch Time (BII) *
12:05
AM Break Time *
10:20
PM Break Time *
12:50
Wednesday
Daily Schedule Ex: 8:00-2:30 *
8:00-2:59
Lunch Time (BII) *
12:45
AM Break Time *
10:41
PM Break Time *
1:40
Thursday
Daily Schedule Ex: 8:00-2:30 *
8:00-2:59
Lunch Time (BII) *
12:45
AM Break Time *
10:41
PM Break Time *
1:40
Friday
Daily Schedule Ex: 8:00-2:30 *
8:00-2:59
Lunch Time (BII) *
12:45
AM Break Time *
10:41
PM Break Time *
1:40
Thank you for completing this survey.
Form Status: Approve

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Date 2024-02-02
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