Family Resource Survey
Please complete one time per household.
Name of adult completing survey
BEST phone number for the household. (Choose only one primary number.)
Names of ICS students living in your household
Right now, do you predict that your family will have the time and adult/family support to assist students with some at-home learning activities while school remains closed?
Does your family currently have access to everything you need at home for online learning activities? This includes reliable internet access and enough tech devices for children in the household to share. If your answer is YES, you can STOP after you answer this question and SUBMIT the survey.
If you do not have everything you need for online learning, please check the boxes below to indicate what you do NOT have access to currently. Check all that apply.
We do not have reliable internet access at home.
We do not have a laptop, Chromebook, or desktop computer at home.
We do not have a tablet/iPad at home.
We do not have a smartphone.
We do not have enough technology devices for our children to share.
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Independence Charter School.