OUSD Community Partner Student Tech Need Identification Form

Community partners can identify students and families that are having challenges connecting to distance learning with OUSD. Please submit the student's information and a team from OUSD will follow up and ensure that all students can reliability get online for Distance Learning.

Which site does the student attend? *

What is the student's Last Name (Family Name) *

What is the student's First Name? *

What is the parent/guardian/family member's name who is lifting up the concern? *

What is the family's cell phone number where they can be reached? *

What is the family's home language? (optional)

English

Spanish

Arabic

Mam

Cantonese

Vietnamese

Khmer

Other:

Clear selection

Does the student have an issue with their computer? *

No problems with computer

Does not have a computer or Chromebook to access distance learning

Has an older device that is not supporting distance learning

Has a broken device that needs to be repaired

Does the student have an issue with Internet Access? *

Does not have Internet access to connect to distance learning

No problems with Internet access at home

The hotspot does not have connectivity at my home

Does the student need additional support or training to access distance learning? *

No-We don't have any issues

Yes-Logging on to the platforms and classrooms

Yes-Training on how to support students to engage in distance learning

Yes-Need technology support for devices we have

Other:

What community organization, partner or OUSD Department is submitting this form? *

Bay Area PLAN

Oakland Reach

Oakland Promise

Families in Action

Office of Equity

Communications Department

Special Education Department

CEEBSE (Committee to Empower Excellence in Black Student Education)

NAACP

Other:

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