Displaced Families Survey
To help the District better assist our families who've been displaced due to the wildfires, we are asking them to complete the following survey. If your student is enrolled in Options Academy, you should've received a separate survey. If not, please email to
Best contact #
Please indicate your student's first and last name(s).
Please indicate your current situation
We are staying outside our home but anticipate returning as soon as evacuation levels allow it.
We are staying outside our home but do not know when we can return due to damage.
We've lost our home and are unsure where we will be staying.
We've lost our home but will have a secure place to stay on or before Sept 28th.
Please check which of the following items you currently have access to?
Computer (or will be getting chromebook from the District)
Misc School Supplies (pens, pencils, crayons, paper, notebooks, etc)
Are there any other immediate needs you have at this time?
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This form was created inside of North Santiam School District.