School District of New Berlin

District

Prior to filling out this form, you should have discussed and gotten the approval of the teacher/office to be their student aide

First Name

Last Name

Counselor

Mr. Annoye (A-He)

Ms. Mees (Hi-O)

Ms. Lohse (P-Z)

Grade

9th

10th

11th

12th

Your Email Address

Your Phone Number

Have you discussed and gotten the approval of the teacher/office to be their student aide?

Yes

Student Aide Location (what room number)

Supervisor's Name

10.

Which semester(s) will you serve as a student aide?

11.

Which period(s) of day will you serve as an aide?

I am not a Robot

School District of New Berlin