CRSD COVID-19 Out of School Connectivity Survey
Parent/Guardian Last Name *
Your answer
Parent/Guardian First Name *
Your answer
Parent guardian email (write none if you don't use email) *
Your answer
Parent/Guardian phone number
Your answer
Do you have regular access to the internet at home? *
Do you have access to a device at home to complete school work (i.e. Chromebook, Tablet, Computer) *
Student #1 Last Name *
Your answer
Student #1 First Name *
Your answer
Student #1 Grade Level *
Do you have more than one student in the district? *
Never submit passwords through Google Forms.
This form was created inside of Chestnut Ridge School District. Report Abuse