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DHHS Intent to Return Survey
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* Indicates required question
Parent email address
*
Your answer
Student Last Name (only one student per form, DHHS students only)
*
Your answer
Student First Name
*
Your answer
Student ID Number (S1234567)
*
Your answer
Student Grade Level
*
9th grade
10th grade
11th grade
12th grade
9th Grade Parents Only: Are you planning on returning your student "In Person" learning on January 19th, 2021
Yes
No
Clear selection
10th - 12th Grade Parents Only: Are you planning on returning your student to "In-Person" learning on Jan. 25th, 2021 for spring semester?
Yes
No
Clear selection
Will your student ride the school bus?
*
Yes
No
Will your student eat school breakfast?
*
Yes
No
Submit
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