School District of New Berlin - Student Aide Form

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

1.

*

First Name

2.

*

Last Name

3.

*

Counselor

Mr. Annoye (A-He)

Ms. Mees (Hi-O)

Ms. Lohse (P-Z)

4.

*

Grade

9th

10th

11th

12th

5.

*

Your Email Address

6.

*

Your Phone Number

7.

*

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

Yes

No

8.

Student Aide Location (what room number)

9.

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?

Student Aide Form