Continuing Student Education
Parents/students, please fill out this form to let us know what technology and support you have available and any needs you have. Your response will help to inform your teacher(s) in the weeks ahead.
Name of Student(s) *
Your answer
Does your child(ren) have access to the following? *
Yes, but sharing
Computer / Laptop
Smart Phone / Tablet
Scanner / Scanner app
Microphone & Web Cam
How would you rate your internet service? *
Are you able to come to the school once a week during school hours for drop-off/pick-up of educational materials?
What learning environment will your child(ren) be in during the COVID-19 pandemic? *
Parent/Guardian at home, available to supervise learning
Parent/Guardian working from home, will supervise as able
Parent/Guardian working outside the home
If parent(s) are available to supervise learning, who is the parent/guardian?
(This is in case there is a change from the contact we have generally used for your family).
Your answer
Please specify the email address for the above person:
Your answer
If parent(s) are working outside of the home, where do they work?
(This is to help determine whether parent/guardian(s) are considered essential service workers)
Your answer
Additional info pertaining to your child's learning environment during this time:
Your answer
Thank you for completing this form.
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