IT Survey Related to Home Internet Connectivity

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

The Portsmouth School Department is currently evaluating our technology needs and how to better serve the
families and students of the district. If you have more than one student in the district, please fill out a form for each individual child. Please submit your response(s) by Thursday, March 19, 2020.

Email *

Please select the school your child attends: *

Student Grade *

Student Full Name *

What technology devices do your children have access to utilize at home? Check all that apply. *

Desktop

Laptop, Netbook, or Chromebook (any brand)

Tablet (e.g. iPad, Android, Nook, Fire, etc.)

Smartphone

Do not have a technology device at home.

Required

Does your home have Internet Access (i.e. cable modem, dsl, tethering, etc)? *

Yes

If you do not have Internet access at home, do you have an alternate method for accessing the internet? *

If you answered "no" to any of the questions above, please provide your child's first and last name.

If you answered "no" to any of the questions above, please provide your child's homeroom teacher's name.

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Portsmouth School Department. Report Abuse

Forms