Student Schedule Survey

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

Print

Student's Name *
Noah jarakaruta
BII Name *
Stephani
Full Name of School *
Vernon elementary
School Street Address *
4312 s Grand
School City *
LosAngeles
School Zip Code *
90037
School Phone Number *
3235570221
Classroom(s) *
6
Teacher(s) *
Mr Jacobstien
What location do you meet your student at, when you start work? Ex: Classroom, Office, Bus *
Class room are sometimes the black top
What location do you drop your student off, at the end of the day? Ex: Bus, Classroom, Office *
Side gate of school
Work Schedule
Monday
Daily Schedule Ex: 8:00-2:30 *
8:00 - 2:30
Lunch Time (BII) *
11:30
AM Break Time *
10:00
PM Break Time *
1:30
Tuesday
Daily Schedule Ex: 8:00-2:30 *
8:00 to 2:19
Lunch Time (BII) *
11:30
AM Break Time *
10:00
PM Break Time *
1:30
Wednesday
Daily Schedule Ex: 8:00-2:30 *
8:00
Lunch Time (BII) *
11:30 to 12:00
AM Break Time *
10:00
PM Break Time *
1:30
Thursday
Daily Schedule Ex: 8:00-2:30 *
8:00 to 2:19
Lunch Time (BII) *
11:00 to 12:00
AM Break Time *
10:00
PM Break Time *
1:30
Friday
Daily Schedule Ex: 8:00-2:30 *
8:00 to 2:19
Lunch Time (BII) *
11:00 to 2:19
AM Break Time *
10:00
PM Break Time *
1:30
Thank you for completing this survey.
Form Status: Approve

Draw Signature

Date 2024-03-04
Reject Next Step Hire
Deny Pending Approve

Are you sure you want to remove this?