Technology Access Survey
Dear Canby Families,

We are collecting some very important information about your access to technology at home. We need to know whether your students have devices and internet access as we make plans to provide educational opportunities online. Please take a moment to fill out this important survey so we can plan for the next few weeks of the statewide school closure. We need this information from EVERY family in the district. If you do not have technology needs, we need to know that, too.

Please limit to one response per household to avoid duplication. Know that this survey information will be confidential and will only be accessed by school administrators as a way to determine technology needs. We will provide a different form of this survey to families who may not have access to a phone or the internet.

- Please leave blank any questions that aren’t valid for you -
Your first name *
Your answer
Your last name *
Your answer
Your email *
Your answer
The best number to text you *
Your answer
The best phone number to call you *
Your answer
Your first Canby student's first and last name *
Your answer
Your first Canby student’s grade level *
Your answer
Your second Canby student’s first and last name
Your answer
Your second Canby student’s grade level
Your answer
Your third Canby student’s first and last name
Your answer
Your third Canby student’s grade level
Your answer
The names and grade levels of any remaining Canby students in your household
Your answer
What option best describes your internet availability? *
What option best describes your student’s ability to access a computer with a keyboard, an iPad, or a school-provided iPad? *
Does your student have a dedicated iPad at school that they did not bring home with them when school was closed? If so, please provide that student’s name.
Your answer
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