Home Technology Access Survey
Students, we need information about your home technology access and any other current needs you have. Please complete the information below.
Email address *
Last Name
First Name
Do you have internet access at home?
Do you have a working computer at home?
Do you have paper and pencil at home?
Do you have food at home to get you and your family through the next two weeks.
Where do you leave your Chromebook 7th period? Staff Member's Name *
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Springdale Public Schools.