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ELO-P Interest Form

This school year, MUSD will again offer an 'Expanded Learning Opportunities Program' (ELO-P). Your child may qualify for participation in this FREE program if they are English Learners, Foster or Homeless Youth, or if your family qualifies for free/reduced meals based on our school meal application. Every school day, plus 30 additional days per year, 'ELO-P' is open from 7am to 4pm for these specific students in TK - 6th grade.

If your child qualifies, you can choose to send them before school, after school, or both. We provide a fun, safe and engaging environment which includes learning, enrichment, free play, nutritious meals and various field trips! All we ask is that you let us know ahead of time which days/times your child will attend so we can plan staffing. Marking 'Yes' to the first question on this form will tell us you are interested, and we will contact you to confirm once your child has a spot. Please do not send your child to ELO-P without first being contacted by us to confirm their spot. If your child already attends ELO-P, it is not necessary to fill this form out again.

Thank you!

Sherrilynn Polanco & Ariel Matsumiya, ELO-P

Please feel free to contact us with any questions or concerns.

You can message either of us directly on Parent Square or Brightwheel.

Or you can contact us via phone/text/email:

Sherrilynn Polanco
[email protected]
760-783-6404 (text)
760-934-7545 ext 3104 (phone)

Ariel Matsumiya
[email protected]
760-802-4831 (text)
760-934-7545 ext 3105 (phone)

PARENT/GUARDIAN INFORMATION

What is your name?*

Typing or writing your name here is considered your signature, giving your child permission to participate in ELO-P.

Answer required for "What is your name?"

Email - please provide if you have one

Answer required for "Email - please provide if you have one"

Phone Number*

Number Required

Are you interested in E-LOP for your child this year?*

Answer required for "Are you interested in E-LOP for your child this year?"

Yes

STUDENT INFORMATION

We have provided you with options to submit up to three students for ELO-P (only students TK through 6th grade are eligible)

First Child: First Name*

Answer required for "First Child: First Name"

First Child: Last Name*

Answer required for "First Child: Last Name"

First Child: Grade*

Answer required for "First Child: Grade"

First Child: Date of Birth*

Answer required for "First Child: Date of Birth"

Second Child: First Name

Answer required for "Second Child: First Name"

Second Child: Last Name

Answer required for "Second Child: Last Name"

Second Child: Grade

Answer required for "Second Child: Grade"

Second Child: Date of Birth

Answer required for "Second Child: Date of Birth"

Third Child: First Name

Answer required for "Third Child: First Name"

Third Child: Last Name

Answer required for "Third Child: Last Name"

Third Child: Grade

Answer required for "Third Child: Grade"

Third Child: Date of Birth

Answer required for "Third Child: Date of Birth"

PROGRAM INFORMATION

Please tell us when your child will attend ELO-P during the school year (mark all that apply):*

Answer required for "Please tell us when your child will attend ELO-P during the school year (mark all that apply):"

Before School

After Schoo

Both

Other:

You know your child best. What activities do YOU think your child needs or would enjoy most in our program?*

Answer required for "You know your child best. What activities do YOU think your child needs or would enjoy most in our program?"

Confirmation Email

Confirmation Email *

Answer required for "Confirmation Email"