Madison Early Childhood Center (MECC) Fall 2020 Learning Option Survey
Please answer the following questions assuming that we are still in Phase 4 of the MI Safe Start Plan (In-Person Learning is allowed) on September 8, 2020.
Student Name (First & Last) *
2020-2021 Grade Level *
Learning Option for Semester 1 of 2020-2021 School Year Selection: *
Do you have functioning Internet access in your home? *
Do you have a functioning device in your home that can be used for student learning? *
Does your child have any allergies? *
If you answered "Yes" to the above question, please describe allergies:
Please share any health issues your child may have:
Is there anything you would like to share with the district at this time?
Never submit passwords through Google Forms.
This form was created inside of Madison District Public Schools. Report Abuse