Remotely Education

39 students served 30 followers

Remotely is the premier remote learning service, which provides families and schools with a safe, structured environment for their students to learn remotely, under the guidance of a professional.

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Your Information

First Name *

Last Name *

Email *

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Home Phone (optional)

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Employer 1 *

Employer 2 (optional)

Student ID (optional)

Location

Zip Code *

Child Information

Child 1 Grade *

Child 1: Number of days a week would you like this child to be in a Learning Pod? *

Child 1: Name of school he/she is attending *

Child 2 Grade (optional)

Child 2: Number of days a week would you like this child to be in a Learning Pod? (optional)

Child 2: Name of school he/she is attending (optional)

Child 3 Grade (optional)

Child 3: Number of days a week would you like this child to be in a Learning Pod? (optional)

Child 3: Name of school he/she is attending (optional)

Child 4 Grade (optional)

Child 4: Number of days a week would you like this child to be in a Learning Pod? (optional)

Child 4: Name of school he/she is attending (optional)

Child 5 Grade (optional)

Child 5: Number of days a week would you like this child to be in a Learning Pod? (optional)

Child 5: Name of school he/she is attending (optional)

Comments / Questions (optional)

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Other Families

If you have other families in mind for your Learning Pod, please enter their information below.

Family 1 Email Address (optional)

Family 2 Email Address (optional)

Family 3 Email Address (optional)

Family 4 Email Address (optional)

Family 5 Email Address (optional)

Hosting Details

Are you able to host the Learning Pod at your home some days? If yes, how many students, including your own, are you comfortable having there at a time? *

If you have any additional comments, please add here (optional)

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Remotely Education

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