GEMS Closure Student Information Survey
Hello GEMS Families! Please complete the following survey so that we have the most up-to-date information for you during our extended closure.

**If you have more than one student, please fill out an individual survey for each of your students!**
Student Name (first and last) *
Your answer
Student grade (0=kindergarten) *
Parent/Guardian Name *
Your answer
Parent/Guardian Phone Number *
Your answer
Parent/Guardian Email *
Your answer
Are you signed up for your student's class on Remind? *
Does your student have access to an electronic device (computer, tablet, smartphone) to complete online work at home? (Check all that apply) *
Does your student have access to the internet to complete online work at home? *
If available, are you interested in borrowing a laptop from GEMS for your student to complete online work at home? *
Do you have any questions for the GEMS administration?
Your answer
Is there anything else that you would like the GEMS administration to know about your situation at home that we might be able to assist with?
Your answer
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