Digital Equity Survey
To verify the need of students in order to ensure all students have equal access to technology as well as the tools necessary. Please fill out 1 SURVEY PER STUDENT (Grades Pre-K through 12) that attend Cozad Community Schools.
* Required
Below enter Student Name that lives in your residence (remember you must complete a separate form for EACH of your children that attend Cozad Community Schools).
Student Last Name
*
Your answer
Student First Name
*
Your answer
Student Current Grade
Choose
12th Grade
11th Grade
10th Grade
9th Grade
8th Grade
7th Grade
6th Grade
5th Grade
4th Grade
3rd Grade
2nd Grade
1st Grade
Kindergarten
Pre-Kindergarten
Primary residence address
*
Your answer
What device does the student most often use to complete school work at home?
*
Desktop/Laptop
iPad
Android Tablet
Chromebook
SmartPhone
None-No Device Available
Other
Is the primary learning device a personal device or school-provided? Is the primary learning device shared with anyone else in the household?
*
Personal - Dedicated (one person per machine)
Personal - Shared (sharing among others in household)
School Provided - Dedicated
School Provided - Shared
None
Can the student access the internet on their primary learning device at home?
*
Yes
No - Not Available
No - Not Affordable
No - Other
What is the primary type of internet service used at the residence?
*
Residential Broadband (e.g., DSL, Cable, Fiber)
Cellular Network
School-Provided HotSpot
Satellite
Dial-up
Other
None
Can the student stream a video on their primary learning device without interruption?
*
Yes - No issues
Yes - But not consistent
No
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