Parent Survey for Student device needs
Note: The person filling out this form must be in the vehicle during device pickup day.
Email address *
Parent/Guardian First Name *
Your answer
Parent/Guardian Last Name *
Your answer
Do you have a computer your students can use to access remote learning resources? *
Phone Number: *
Your answer
Parent Current Email address: *
Your answer
How many Chromebooks will you need to check out? (If needed you may check out up to 1 Chromebook per grade 6-12 student in your household.) *
Student 1 school email address *
Your answer
Student 2 school email address
Your answer
Student 3 school email address
Your answer
Student 4 school email address
Your answer
Student 5 school email address
Your answer
Do you have WiFi internet in your home? *
To access remote learning resources you will need to connect to WiFi Internet. Consider if you don't currently have WiFi in your home, do you have alternative safe ways to access. The following list below is a list of providers to consider, there may be others.
- Spectrum (Free Wifi for 60 days) for K12 families.
- Allo Communications (Free for 60 days)
- Verizon
- US Cellular
- CenturyLInk
- Viaero
- ATC
- HughesNet/Satellite
- Dish
A copy of your responses will be emailed to the address you provided.
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