Student Schedule Survey

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

Student's Name *
David Havlicek
BII Name *
Cassandra Banales
Full Name of School *
Patrick Henry Middle School
School Street Address *
17340 San Jose St
School City *
Granada Hills
School Zip Code *
91344
School Phone Number *
8188323870
Classroom(s) *
I&E, Craft, Math, Pe, Science, English, and History.
Teacher(s) *
B. Bascara A. Pelayo M. Girard D. Ambramson A. Kiner G. Steenhagen
What location do you meet your student at, when you start work? Ex: Classroom, Office, Bus *
I meet my student in the classroom every morning.
What location do you drop your student off, at the end of the day? Ex: Bus, Classroom, Office *
I drop my student off at the gate, waving at the parent who picks him up.
Work Schedule
Monday
Daily Schedule Ex: 8:00-2:30 *
8:00-3:08
Lunch Time (BII) *
12:05-12:35
AM Break Time *
9:00-9:10
PM Break Time *
2:45-2:55
Tuesday
Daily Schedule Ex: 8:00-2:30 *
8:00-2:08
Lunch Time (BII) *
11:10-11:40
AM Break Time *
9:10-9:20
PM Break Time *
1:45-1:55
Wednesday
Daily Schedule Ex: 8:00-2:30 *
8:00-3:08
Lunch Time (BII) *
12:05-12:35
AM Break Time *
9:00-9:10
PM Break Time *
2:45-2:55
Thursday
Daily Schedule Ex: 8:00-2:30 *
8:00-3:08
Lunch Time (BII) *
12:05-12:35
AM Break Time *
9:00-9:10
PM Break Time *
2:45-2:55
Friday
Daily Schedule Ex: 8:00-2:30 *
8:00-3:08
Lunch Time (BII) *
12:05-12:35
AM Break Time *
9:00-9:10
PM Break Time *
2:45-2:55
Thank you for completing this survey.
Form Status: Approve

Draw Signature

Date 2024-02-02

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