Student Schedule Survey

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

Student's Name *
Michael Jackson
BII Name *
Julio Mata
Full Name of School *
Lovelia P Flournoy Elementary
School Street Address *
239 West 97st
School City *
Los Angeles
School Zip Code *
90059
School Phone Number *
3235642545
Classroom(s) *
12/15
Teacher(s) *
Ms. Salgado and Mr.Artintito
What location do you meet your student at, when you start work? Ex: Classroom, Office, Bus *
Either at the office or at the kickball area.
What location do you drop your student off, at the end of the day? Ex: Bus, Classroom, Office *
Front of the office or with a after school staff.
Work Schedule
Monday
Daily Schedule Ex: 8:00-2:30 *
8:00-2:30
Lunch Time (BII) *
12-12:30
AM Break Time *
10:00
PM Break Time *
2:00
Tuesday
Daily Schedule Ex: 8:00-2:30 *
8:00-1:30
Lunch Time (BII) *
N/A
AM Break Time *
10
PM Break Time *
1:00
Wednesday
Daily Schedule Ex: 8:00-2:30 *
8:00-2:30
Lunch Time (BII) *
12-12:30
AM Break Time *
10:00
PM Break Time *
2:00
Thursday
Daily Schedule Ex: 8:00-2:30 *
8:00-2:30
Lunch Time (BII) *
12-12:30
AM Break Time *
10:00
PM Break Time *
2:00
Friday
Daily Schedule Ex: 8:00-2:30 *
8:00-2:30
Lunch Time (BII) *
12:12:30
AM Break Time *
10:00
PM Break Time *
2:00
Thank you for completing this survey.
Form Status: Approve

Draw Signature

Date 2024-05-09

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