Student Schedule Survey

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

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Student's Name *
Dominic Webster
BII Name *
Eljane Chislom
Full Name of School *
Samuel Gompers Middle School
School Street Address *
234 e 112th street
School City *
Los Angeles
School Zip Code *
90061
School Phone Number *
323.757.9211
Classroom(s) *
History Rm 25 Art Rm 72 Alt Math Rm 25 Math Rm 25 Pe GYM1 Dev Read Rm 25 Eng Alt Rm 25 Hist Rm 25 Homeroom Rm 25
Teacher(s) *
Rm 21- Mrs.Porter Pe- Mr.Pabo Art- Mr.Schweizer
What location do you meet your student at, when you start work? Ex: Classroom, Office, Bus *
Start work in classroom. Typically meet student at entrance gate in the morning or in the attendance office. Attendance office will call classroom if he's there
What location do you drop your student off, at the end of the day? Ex: Bus, Classroom, Office *
Walk student to moms car from side gate. (same gate as entrance gate)
Work Schedule
Monday
Daily Schedule Ex: 8:00-2:30 *
8am-2:55pm
Lunch Time (BII) *
12pm-12:30pm
AM Break Time *
10am
PM Break Time *
N/A
Tuesday
Daily Schedule Ex: 8:00-2:30 *
8am-1:55pm
Lunch Time (BII) *
nolunch
AM Break Time *
10am
PM Break Time *
N/A
Wednesday
Daily Schedule Ex: 8:00-2:30 *
8am-2:55pm
Lunch Time (BII) *
12pm-12:30pm
AM Break Time *
10am
PM Break Time *
N/A
Thursday
Daily Schedule Ex: 8:00-2:30 *
8am-2:55pm
Lunch Time (BII) *
12pm-12:30pm
AM Break Time *
10am
PM Break Time *
N/A
Friday
Daily Schedule Ex: 8:00-2:30 *
8am-2:55pm
Lunch Time (BII) *
12pm-12:30pm
AM Break Time *
10am
PM Break Time *
N/A
Thank you for completing this survey.
Form Status: Approve

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Date 2024-03-07
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