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2021 ELOP ESY STUDENT INTEREST SURVEY - Preschool thru 7th Grade
Are you interested in possibly registering your child to attend the 2021 SGUSD Extended Learning Opportunity Program (ELOP), which includes Extended School Year (ESY)? If so, please complete this form!!

Please complete one interest survey for each child.

This summer, San Gabriel Unified School District is offering a FREE, In-Person* summer program focused on student engagement and dedicated to helping our students learn together once again.

* Pending LA County Department of Public Health Guidelines

ELOP/ESY for Preschool thru 7th Graders:
-- DATES: June 14, 2021 to July 9, 2021 (no school on July 5th)
-- TIMES: 8:15am to 12:30pm each day
-- LOCATIONS: Possibly at all campuses pending student interest

This form will help us identify how many families are interested in possibly registering their child(ren) for our 2021 ELOP/ESY Program.

PLEASE NOTE: This is simply an interest survey. Once we know how many families are interested, registration information will be sent to you towards the end of April or early May.

DEADLINE TO SUBMIT THIS INTEREST SURVEY: Friday, April 23, 2021 at 5pm
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Email *
I am interested in the possibility of registering my child for the 2021 SGUSD Extended Learning Opportunity Program (ELOP), which includes Extended School Year (ESY) *
STUDENT'S FIRST AND LAST NAME. *
STUDENT'S DATE OF BIRTH: *
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/
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THIS SUMMER, I AM MOST INTERESTED IN MY CHILD RECEIVING SUPPORT IN THE FOLLOWING AREAS: *
Required
MY CHILD RECEIVES EXTENDED SCHOOL YEAR SERVICES AS PART OF THEIR INDIVIDUALIZED EDUCATION PROGRAM (IEP). *
STUDENT'S CURRENT GRADE: *
CURRENT SCHOOL OF ATTENDANCE: *
PARENT/GUARDIAN NAME: *
PARENT/GUARDIAN PHONE NUMBER: *
PARENT/GUARDIAN EMAIL ADDRESS: *
A copy of your responses will be emailed to the address you provided.
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