Netter Center wants to know how we can help!
Please complete the survey below & let us know if and how we can support you.
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Adult Family Member Name: *
Please list your current phone number and/or email address below: *
What is your preferred method(s) of communication? (please select all that apply) *
Please list all students in your household who are enrolled in UACS programs and note which grade each student is currently in: (Ex: Jayden Smith, Grade 5) *
What UACS School does your student(s) attend? *
Do you have a wifi and/or data plan that would allow you/your student to download educational videos or chats? *
What technology do you currently have access to? (Please select all that apply) *
What remote virtual programming would you participate in? (Please select all that apply)
Do you have suggestions for other remote virtual programs that are needed?
What has been the most important part of our programs you relied upon, and why?
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