Remote Learning In-Take Form
This form is used to best understand what resources your student(s) are in need of if they wish to learn remotely and how Thrival Indy Academy can best support the needs of your student(s).
Student Name (Last, First) *
If Applicable, Second Student Name (Last, First)
Guardian Name (Last, First) *
Does your student have access to reliable WiFi at home? (If not, a hotspot can be provided in the student's remote learning kit.) *
Does your student have a space that could be dedicated to remote learning and is free from distractions? *
Did your student encounter any difficulties pertaining to remote learning and/or technology during the 2019-2020 school year? If yes, please explain below. If no, please reply 'not applicable'. *
Were there any helpful activities, processes, or opportunities pertaining to remote learning and/or technology that your student encountered during the 2019-2020 school year? If yes, please explain below. If no, please reply 'not applicable'. *
Would you like your student to receive free meal service? (Student breakfast and lunch will be available for pickup twice a week)
Clear selection
Submit
Never submit passwords through Google Forms.
This form was created inside of Thrival Indy Academy. Report Abuse