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Falls Lake Academy - Family Involvement Hours

* Indicates required question

1.     Your Name *

2.     Your email address

3.     Family Code (this can be found on Campus Parent by going to More -> Important Numbers.  It is a four-digit number.) *

4.     Name and grade of one student in your family.

Service Description

 

Involvement Hour Requirements:

10 hours per family.

5.     Date of Service *

The window of service is from June 1 - May 31st of this school year. Make sure you put in the correct day and year. Do not enter service for days in the future. Put in your service hours after the sevice has been completed.

Example: 1/7/2019

6.     Hours *

If the time exceeds 24 hours, do two separate entries and break the time so that neither time is more than 24 hours.

hours,

minutes

7.     Involvement Description *

8.     Category of Service

Check all that apply

9.     Name of Staff Member Coordinator/Witness

10.    Confirmation Email

A confirmation of these hours will be sent to you at the following email address within the next 24 hours if provided.

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P.O. Box 13314, Albany, NY 12212-3314 • 518.344.7022 • 518.344.7454 (fax) • 888.999.2554 (toll free) • www.edvistas.com