MHHS Parent Survey for Instructional Support
Dear Parents,
During this time of school closures due to the COVID-19 public health situation, we are shifting to a distance learning model for instruction. This model requires that each student have access to a device during the school day hours for their sole use.

With this in mind, we will begin to check out Chromebooks to all students, regardless of financial need. We ask that families not check out devices if you already have personal devices (Chromebook, laptop, tablet, etc.) for every child in your home.

If you still need to check out a Chromebook, please take this survey.

Thank you for your cooperation.

Take Care Grizzlies!
Email address *
Parent's first name? // ¿ Primer nombre de guardian/tutor legal? *
Your answer
Parent's last name? // ¿Apellido de guardian/ tutor legal? *
Your answer
Student's first name? // ¿Primer nombre de estudiante? *
Your answer
Student's last name // ¿Apellido de estudiante? *
Your answer
What is your student's ID number or student computer login? // ¿Cual es el numero de ID (identificación) de su estudiante o la información para entrar a la computadora de estudiante?
Your answer
Student's birthday // ¿Fecha de nacimiento de su estudiante? *
MM
/
DD
/
YYYY
What grade is your student? /¿En que grado esta su estudiante? *
Does your home have a computer for this student (we would like to try and have one for every child that attends our school during these closures)? // ¿En su hogar tienen una computadora para su estudiante? (queremos tratar de tener una para cada estudiante que asiste a nuestra escuela durante estos cierres de escuela) *
Does your home have internet access? // ¿En su hogar tiene acceso al internet? *
Does anyone in your family have a smartphone that could receive information for the student(s)? // ¿Alguien en su familia tiene un teléfono inteligente que pueda recibir información para su estudiante(s)? *
How many computers do you have in your home? //¿Cuantas computadoras tiene en su hogar? *
Your answer
If someone in your family has a smartphone that could receive information for the student, please provide the phone number. Please enter the 10 digit number with no punctuation or spaces. Si alguien en su familia tiene un teléfono inteligente que pueda recibir información para su estudiante, por favor denos u numero de teléfono. Por favor de poner el numero de 10 digitos sin puntuación o espacios.
Your answer
Does your child have access to the following at home? Check all that apply. ¿Su estudiante tiene acceso a materiales para la escuela (papel, lápiz, etc.) y almuerzo en la casa? *
Required
Is there any other information you can share to help us better understand your needs during this closure, such as unique logistics or hardships involved with keepingIs there any other information you can share to help us better understand your needs in the event that your family has to accommodate a longer term school closure, such as unique logistics or hardships involved with keeping your children at home? // ¿Tiene otra información que usted pueda compartir con nosotros para mejor comprender sus necesidades en el evento que su familia tenga que acomodar para un termino mas largo de cierre de las escuelas, como logísticas especiales o dificultades que tienen que ver con tener sus estudiantes en la casa? your children at home?
Your answer
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