Return-to-School Survey

Dear C-WC Parents/Guardians,

The Carmi-White County CUSD #5 Return-to-School Plan for the 2020-2021 school year is based on guidance from the Illinois State Board of Education (ISBE), the Illinois Department of Health (IDPH), the Egyptian Health Department, and the transition committee. Please read this plan before completing the following questions.

Please click on the link to access the Return-to-School Plan.

Check the box below after reading the CWC #5 Return-to-School Plan*

I have read and understand the C-WC #5 Return-to-School Plan for the 2020-2021 school year

We ask that you complete this form for each student in your family. If ther are more than 5 children, please fill out an additional form. Please scroll down to the bottom of the form and complete by clicking the submit button.

Parent's Name

First NameLast Name

Student's Name

First NameLast Name

Grade Level

As the first step of registration, parents must choose:

My child will attend for face-to-face instruction.I will partner in educating my child in the remote learning environment.I will not be enrolling my child in C-WC CUSD #5.

If your student is eligible for transportation, will you be putting him/her on the bus? We encourage parents to transport students to and from school, if possible.

Yes, my child will ride the bus.No, I will transport my child to and from school.

Student's Name

First NameLast Name

Grade Level

As the first step of registration, parents must choose:

My child will attend for face-to-face instruction.I will partner in educating my child in the remote learning environment.I will not be enrolling my child in C-WC CUSD #5

If your student is eligible for transportation, will you be putting him/her on the bus? We encourage parents to transport students to and from school, if possible.

Yes, my child will ride the busNo, I will transport my child to and from school

Student's Name

First NameLast Name

Grade Level

As the first step of registration, parents must choose:

My child will attend for face-to-face instruction.I will partner in educating my child in the remote learning environment.I will not be enrolling my child in C-WC CUSD #5

If your student is eligible for transportation, will you be putting him/her on the bus? We encourage parents to transport students to and from school, if possible.

Yes, my child will ride the busNo, I will transport my child to and from school

Student's Name

First NameLast Name

Grade Level

As the first step of registration, parents must choose:

My child will attend for face-to-face instruction.I will partner in educating my child in the remote learning environment.I will not be enrolling my child in C-WC CUSD #5

If your student is eligible for transportation, will you be putting him/her on the bus? We encourage parents to transport students to and from school, if possible.

Yes, my child will ride the busNo, I will transport my child to and from school

Student's Name

First NameLast Name

Grade Level

As the first step of registration, parents must choose:

My child will attend for face-to-face instruction.I will partner in educating my child in the remote learning environment.I will not be enrolling my child in C-WC CUSD #5

If your student is eligible for transportation, will you be putting him/her on the bus? We encourage parents to transport students to and from school, if possible.

Yes, my child will ride the busNo, I will transport my child to and from school

Return-to School Survey