2020-21 7th grade micro-school / homeschool option survey -

How strong is your intention to homeschool (with help) this year?

Definitely doing it
Strongly considering it
Considering it
Just exploring

Student name

Parent name(s)

Phone

Email

Student’s fall 2020 grade level

School name, city & state

Current school enrollment

Hybrid
Remote
Other

Interest in outdoor, in-person meetings

All weather, the more the better
A couple times a week would be great
Not important

We will meet some afternoons outdoors in Arlington, MA. Please rate your interest in the outdoor component.

Please tell us about your concerns and goals if you were to choose a homeschooling pod for 2020-21:

Particular interests or needs of your child?

Scheduling needs?

Assuming a school day roughly between 9 am and 3 pm with three synchronous Zoom periods most days, outdoor/in-person sessions on 3 afternoons per week, and Wednesdays asynchronous, do you have particular scheduling concerns or needs?

If any special considerations or needs such as IEP, please describe:

There are limitations to the range of service we can provide; we will contact you to discuss.

Do you know other students who might be interested in this group?

Yes
No

(If so, please ask them to visit here and complete the form themselves)

If you were referred by someone else, please name them here: