Student Schedule Survey

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

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Student's Name *
Avery Duncan
BII Name *
Yenifer Medina Hernandez
Full Name of School *
153rd St Elementary School
School Street Address *
1605 W 153rd St
School City *
Gardena
School Zip Code *
90247
School Phone Number *
310-323-1029
Classroom(s) *
room 34
Teacher(s) *
Ms. Avina
What location do you meet your student at, when you start work? Ex: Classroom, Office, Bus *
Lunch Area
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 *
08:00am - 2:30pm
Lunch Time (BII) *
12:20 pm - 12:50 pm
AM Break Time *
10:20 pm - 10:30 pm
PM Break Time *
1:50 pm- 2:00 pm
Tuesday
Daily Schedule Ex: 8:00-2:30 *
08:00 am - 1:30 pm
Lunch Time (BII) *
0
AM Break Time *
10:20 pm - 10:30 pm
PM Break Time *
0
Wednesday
Daily Schedule Ex: 8:00-2:30 *
08:00am - 2:30pm
Lunch Time (BII) *
12:20 pm - 12:50 pm
AM Break Time *
10:20 pm - 10:30 pm
PM Break Time *
1:50 pm- 2:00 pm
Thursday
Daily Schedule Ex: 8:00-2:30 *
08:00am - 2:30pm
Lunch Time (BII) *
12:20 pm - 12:50 pm
AM Break Time *
10:20 pm - 10:30 pm
PM Break Time *
1:50 pm- 2:00 pm
Friday
Daily Schedule Ex: 8:00-2:30 *
08:00am - 2:30pm
Lunch Time (BII) *
12:20 pm - 12:50 pm
AM Break Time *
10:20 pm - 10:30 pm
PM Break Time *
1:50 pm- 2:00 pm
Thank you for completing this survey.
Form Status: Approve

Draw Signature

Date 2024-03-04
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