Question 1. Did the school district issue your child a dedicated school or district-owned device for their use during the school year?
Question 2. What is the device your child uses most often to complete learning activities away from school? (This can be a school-provided device or another device, whichever the student is most often using to complete their schoolwork.)
Choose
DESKTOP
LAPTOP
TABLET
CHROMEBOOK
SMARTPHONE
NO DEVICE
Question 3. Who is the provider of the primary learning device identified in question 2? (This can be a school-provided device or another device, whichever the student is most often using to complete their schoolwork.)
Choose
SCHOOL
PERSONAL
NO DEVICE
Question 4. Is the primary learning device (identified in question 2) shared with anyone else in the household?
Choose
SHARED
NOT SHARED
NO DEVICE
Question 5. Is the primary learning device (identified in question 2) sufficient for your child to fully participate in all learning activities away from school?
Choose
Yes
No
Question 6. Is your child able to access the internet in their primary place of residence?
Choose
Yes
No
Question 7. What is the primary type of internet service used in your child’s primary place of residence?
Choose
RESIDENTIAL BROADBAND
CELLULAR
MOBILE HOTSPOT
COMMUNITY WIFI
SATELLITE
DSL
NONE
Question 8. In their primary residence, can your child complete the full range of learning activities, including video streaming and assignment upload, without interruptions caused by slow or poor internet performance?
Choose
Yes
No
Question 9. What, if any, is the primary barrier to having sufficient and reliable internet access in your child’s primary place of residence?
Choose
AVAILABILITY
COST
NONE
OTHER
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This form was created inside of Depew Union Free School District.