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Thank you for your interest in the Breteau Foundation Edtech Program. We are excited to see you here! In order to measure the eligibility of your school to take part in our Digital Education program, we need to gather some practical information about your primary education setting and location. Please keep in mind that our program benefits children and primary schools.

This short survey will give us a better understanding of who you are, your motivations and your suitability for our program. Thank you in advance for providing us with the key information below. You will hear back from us in the following weeks.

Email *

1. What is your name and surname? *

2. Confirm your email address *

5. What is your role in the school? *

I am a teacher

I am the principal

I am a coordinator

Otro

Other:

3. Complete name of the school *

4. What type of education setting is your school? *

Public Pre-School

Public Primary School

Non-formal Primary education

Other

Other:

6. In which country is your school located? *

7. In which region/department/province of the country is your school located? *

8. What is/are the primary language(s) of instruction at the school? *

9. How many children attend your school (all grades included)? *

10. Which grade(s) of your school would you like to take part in the Breteau Digital Education program? *

11. How many children are in those grades? *

12. Who in your school will be in charge of driving the Breteau Digital Education program forward? *

Yourself

Another teacher

The principal

The Coordinator

Otro

Other:

13. Please select the accessibility of your school from the nearest main city or town: *

The school is more than 1 hour away from main accessible areas (city or town) and cannot be accessed by regular transport: bus or car

The school is accessible in more than 1 hour by private or public transport

The school is accessible within 1 hour by private transport only.

The school is accessible within 1 hour by public or private transport

Other:

14. Please select the answer that best describes the level of safety and security at your school. *

It is not possible to access the school without a member of the community. School activities are frequently interrupted due to security issues.

Access to the school is recommended in private transport, and escorted by a school staff. Walking around the neighborhood is not recommended.

Access to the school is possible unaccompanied, by private transport and within daylight time. Walking in the surroundings of the school is possible with a member of the community or school staff.

Access to the school can happen any time by private or public transport. Walking around the school is possible and safe.

Other:

15. Please select the answer that best describes the demographic of children attending your school. *

All students are from families who do not require government support and/or social services.

Students are from multiple family backgrounds where some require government support and/or social services and others do not.

Most students are from families who do not require government support and/or social services.

All students are from significantly disadvantaged family backgrounds who require government support and/or social services.

16. What technology is available at your school? (Please provide the quantities. For example; Computers, 12) *

17. In a minimum of 200 and max 500 words, please explain why your school is interested in the Breteau Edtech Program and your objectives for taking part in the program. *

A copy of your responses will be emailed to the address you provided.

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