Return to Learn Needs Survey
Please complete this form for each PK-12 student in your household for the 2020-21 school year.
Student Last Name
Student First Name
Aurora Heights Elementary
Berg Middle School
Emerson Hough Elementary
Newton High School
Thomas Jefferson Elementary
Woodrow Wilson Elementary
Is your student in any of the following programs?
Does your student have access to a device (computer)?
Yes - On a family owned device
Yes - Currently has a school issued device
No - We plan to purchase a device
No - We need a school issued device
Does your household have access to the internet?
No, but we plan to purchase internet by the fall
No, internet is not available where we live
How did your student respond to remote learning during the recent school closure?
My student responded well to remote learning
Remote learning was okay, but my student responds better to in-person
Remote learning did not work well for my student
When school resumes in the fall, do you plan to send your student to school when on-site instruction is an option? (remote learning, whether required or optional, will be more structured and accessible than during the recent closure)
No, we would be interested in a fully remote learning option
Will your student utilize school transportation on a regular basis?
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This form was created inside of Newton Community School District.