Wichita eSchool Facilitator Verification Form

Instructions: Please print the following information

I verify that _______________________ took his/her final in my presence

and did his/her own work on the semester final for __________________

class.

Name of facilitator: _______________________________________

Signature of facilitator: ____________________________________

Date of final: ____________________

e-Mail address of facilitator: ________________________________

School name: ____________________________________________

School address: ___________________________________________

City: ____________________ State: ______________ Zip: __________