School Personnel
east alliance

PART 3 – TO BE COMPLETED BY SCHOOL PERSONNEL Please note that the student (if over 18), parent/guardian has agreed to allow you to complete this section.
Student Name*
Teacher Name*
Courses Taught*
Phone
Email*
I recommend that this student participate in the East summer camps for the following reasons*
I am committed to following up with this student in order to learn about his/her experiences and how they will benefit him/her.* yes
Click this button as your electronic signature
Electronic Signature-*
Date
To be filled out by student's special education teacher
Name of special educator*
Phone*
Email
I recommend that this student participate in the East summer camps for the following reasons*
I am committed to following up with this student in order to learn about his/her experiences and how they will benefit him/her.* yes
 
Electronic Signature* Click this button as your electronic signature
 
Date