Home Internet Survey
Thanks to our voters, our Capital Improvements Levy (commonly called Levy2) has budget set aside to purchase Internet hot spots for students without Internet connectivity in their homes. The district will purchase and own the device. Families can check out the device like a library book and will be responsible for the monthly fee - currently estimated to be about $20/month with discounts for Free/Reduced lunch. The purpose of this survey is to determine how many devices the district should purchase.

Please respond by Friday, November 15th.

*If you already have reliable Internet at your home you do not need to complete this survey.*
Email address *
Parent(s) name: *
Your answer
Student(s) name: *
Your answer
What schools(s) do your children attend?
If you do not have reliable Internet at your home, are you interested in checking out a device from the school and being responsible for the $20 monthly Internet subscription fee? (discounts available for Free/Reduced lunch) *
If you answered YES to the above question, do you currently have a usable cell phone signal in your home? (can you use your mobile phone in your home?)
What reliable mobile phone service is available in your area? (check all that apply)
Submit
Never submit passwords through Google Forms.
This form was created inside of Riverside School District #416. Report Abuse