Southland Parent Survey
Please fill out a survey for each student in your home. Please complete survey by July 31st.
Student Last Name *
Student First Name *
Student Grade Level for 2020-2021 School Year *
Do you intend for your child to attend in-person classes for the 2020-2021 school year? *
If you selected “No” on previous question, which educational experience would you choose for your child
Clear selection
Do you have Internet access at home? *
What type of device does your student have access to at home? Check all that apply. *
Will your child ride the bus for the 2020-2021 School Year? *
Parent/Guardian First Name *
Parent/Guardian Last Name *
Best Contact Phone Number *
Alternate Phone Number
Parent/Guardian E-mail Address
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