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Short Term Independent Study Assignment Record

Short Term Independent Study Assignment Record

Please complete the form below. Required fields marked with an asterisk *

Contact Information

First Name*

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Last Name*

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Quarantine Start Date:*

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Quarantine End Date:*

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Assignments Completed*

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Submitted on Schoology

Turned in to teacher

Enter the period number, the assignment name, and the day you worked on or completed the assignment for each day of quarantine. Enter what you did on each day for each period. *

Example: Period 1, Essay Writing, Day 1; Period 2, Equations, Day 1; etc... Period 1, Essay Writing, Day 2; Period 2, Notations, Day 2; etc

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