Student Schedule Survey

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

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Student's Name *
Beck Stolz
BII Name *
Sadeem Jawad
Full Name of School *
Erwin Elementary School
School Street Address *
13400 Erwin St
School City *
Van Nuys
School Zip Code *
91406
School Phone Number *
818-988-6292
Classroom(s) *
Room 29
Teacher(s) *
Ms. Kim , Ms. Mariela, Mr.Ormar
What location do you meet your student at, when you start work? Ex: Classroom, Office, Bus *
Classroom
What location do you drop your student off, at the end of the day? Ex: Bus, Classroom, Office *
Classroom
Work Schedule
Monday
Daily Schedule Ex: 8:00-2:30 *
8:00-2:22
Lunch Time (BII) *
12:30 - 1:10 PM
AM Break Time *
10:10 - 10:30 AM
PM Break Time *
12:30 - 1:10 PM
Tuesday
Daily Schedule Ex: 8:00-2:30 *
8:00 - 1:22 PM
Lunch Time (BII) *
12:10 - 12:40 PM
AM Break Time *
10:00-10:10 AM
PM Break Time *
12:10 - 12:40 PM
Wednesday
Daily Schedule Ex: 8:00-2:30 *
8:00-2:22
Lunch Time (BII) *
12:30 - 1:10 PM
AM Break Time *
10:10 - 10:30 AM
PM Break Time *
12:30 - 1:10 PM
Thursday
Daily Schedule Ex: 8:00-2:30 *
8:00-2:22
Lunch Time (BII) *
12:30 - 1:10 PM
AM Break Time *
10:10 - 10:30 AM
PM Break Time *
12:30 - 1:10 PM
Friday
Daily Schedule Ex: 8:00-2:30 *
8:00-2:22
Lunch Time (BII) *
12:30 - 1:10 PM
AM Break Time *
10:10 - 10:30 AM
PM Break Time *
12:30 - 1:10 PM
Thank you for completing this survey.
Form Status: Approve

Draw Signature

Date 2024-03-20
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