Loading...

Editing previous response:

Please fix the highlighted areas below before submitting.

Student Mental Health Assessment Opt-Out

Student Mental Health Assessment

Evaluación de Salud Mental del Estudiante

Opt-Out Form

Formulario de Exclusión Voluntaria

 

Please complete the form below to opt your child out of participation in the BIMAS-2 student mental health assessment.

Required fields marked with an asterisk *

--------------------------------------

Complete el formulario a continuación para optar por que su hijo no participe en la evaluación de salud mental del estudiante BIMAS-2.

Campos obligatorios marcados con un asterisco *

Grade / Grado*
Answer Required
School / Escuela*
Answer Required

I have read and understand the description of the BIMAS-2/Mental Health Screening offered at Millville Public Schools for the 2024-2025 school year.

 

I do not want my child to participate in the BIMAS-2™/Mental Health Screening Program.

 

----------------

 

He leído y entiendo la descripción del BIMAS-2/Examen de salud mental que se ofrece en las Escuelas Públicas de Millville para el año escolar 2024-2025.

 

 

No quiero que mi hijo participe en el Programa de Evaluación de Salud Mental BIMAS-2™.

Name of signer / Nombre del firmante*
Signature Required

Sign this form

By pressing “Sign Form,” you are agreeing to signing this form electronically.
Signature *
Type to sign
Draw your signature

Date:
Confirmation Email