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Student Digital Equity Survey & Transportation Request Form 2023-2024
A Student Digital Equity Survey is required by the state for every student.
The 2023-2024 Bus Transportation Form will follow the Digital Equity Survey if transportation is needed.
This MUST be filled out for each individual student separately.
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* Indicates required question
Email
*
Your email
Please fill in the following information based on how you use electronic devices to complete schoolwork at your home. This survey uses the primary address you provide as your “home.” You should answer the questions below based only on the conditions at this address. There is an opportunity at the end of the survey to say more about additional places you live and do homework.
Student Information:
This MUST be filled out for each individual student separately.
Student First Name:
*
Your answer
Student Last Name:
*
Your answer
Birthdate:
*
MM
/
DD
/
YYYY
Grade for 2023-2024 school year:
*
Choose
Preschool AM
Preschool PM
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Digital Device Access
Does this student use an electronic device like a computer, tablet or smart phone to complete homework?
*
Yes
No
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