Thank you for your cooperation.
NOTE: Translation of this survey form in Spanish, Japanese, Chinese (Mandarin), Polish, and Vietnamese is available at Jackson Public School's Reynolds Hall, 522 Wildwood Ave., Jackson, MI 49201. If completing a printed form, please return form to your school office.
SCHOOL OFFICE USE ONLY: If the parent/guardian has checked YES for Question 1, this completed form must be faxed immediately to the attention of the ELL Coordinator at 768-5918. The original form is to be kept at the school in the student's CA-60 for audit purposes during the school year.
It is the policy of the Jackson Public Schools District that no discriminatory practices based on sex, race, color, national origin, religion, height, weight, marital status, handicap, age, political affiliation, sexual orientation, or disability or any other status covered by federal, state, or local law be allowed in providing instructional opportunities, programs, services, job placement assistance, employment, or in policies governing student conduct and attendance. Any person suspecting a discriminatory practice should contact the Human Resources Office at Jackson Public Schools, 522 Wildwood Avenue, Jackson, Michigan 49201 or call (517)841-2153.