1. No category

School Board Members
School Board
Susan L. Valdes, Chair
Doretha W. Edgecomb, Vice Chair
April Griffin
Sally A. Harris
Carol W. Kurdell
Melissa Snively
Cindy Stuart
Superintendent of
Schools
MaryEllen Elia
Principal
Michael Miranda
Marion S. Rodgers Middle School
Assistant Principals
Meredith Scribner
Eric Scott
Stephanie Dershem
SINGLE GENDER CLASSROOM PERMISSION FORM
Please complete all sections of this form
Student Name:
Gender (please circle): Male or Female
Parent Name (s):
Phone Number (s):
Email Address(es):
I
, parent of
Would like my child to be assigned to a single gender classroom for the 2015-16 school year.
Parent Signature
Rodgers Middle School • 11910 Tucker Rd, Riverview, FL 33569 • 813.671.5288 • Fax 813.671. 5245
http://rodgers.mysdhc.org