Home Access Survey Form
This survey is intended to provide a form to send to parents to collect information about internet access at home.

Note: Schools can make a copy of this document and modify as necessary. Please make edits to YOUR COPY of the form and send your copy to your parents.
Email address *
Student's First Name *
Student's Last Name *
Grade *
Student's Teacher
Do you have high-speed internet in your home for students to access the internet? (High speed is considered 25Mbps for downloads. This would mean being able to watch a video without buffering or lagging.) *
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This form was created inside of Union County Public Schools.