Student Schedule Survey

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

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Student's Name *
Keandre Williams
BII Name *
Tiana
Full Name of School *
Venice High School
School Street Address *
Venice Blvd and Lincoln
School City *
Culver City
School Zip Code *
90230
School Phone Number *
2134244762
Classroom(s) *
I meet him in the class
Teacher(s) *
And the teacher is there
What location do you meet your student at, when you start work? Ex: Classroom, Office, Bus *
I leave him in the class room
What location do you drop your student off, at the end of the day? Ex: Bus, Classroom, Office *
In the classroom
Work Schedule
Monday
Daily Schedule Ex: 8:00-2:30 *
8:30 to 2:30
Lunch Time (BII) *
12:30-1:00
AM Break Time *
10:42-1159
PM Break Time *
2-2:10
Tuesday
Daily Schedule Ex: 8:00-2:30 *
800-2:30
Lunch Time (BII) *
12-12:30
AM Break Time *
1042-11:59
PM Break Time *
2-2:10
Wednesday
Daily Schedule Ex: 8:00-2:30 *
8:30-2:30
Lunch Time (BII) *
1230-100
AM Break Time *
10:42-10:59
PM Break Time *
2-2:10
Thursday
Daily Schedule Ex: 8:00-2:30 *
830-2:30pm
Lunch Time (BII) *
12:30 to 100
AM Break Time *
1042-11:59
PM Break Time *
2:00-2:10
Friday
Daily Schedule Ex: 8:00-2:30 *
08:30-2:30
Lunch Time (BII) *
12:30-to 100
AM Break Time *
10:42-10:59
PM Break Time *
2:00-2:10
Thank you for completing this survey.
Form Status: Approve

Draw Signature

Date 2024-03-04
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