11.9.2020 Survey for Student Distance Learning (in case of a closure)
Thank you for taking the time to complete this survey. We would like all information no later than this Thursday, November12th at 5:00 p.m. It is important that each parent respond to this survey so we know how to proceed in the coming weeks should a closure of a classroom or building be necessary. We are doing this to be proactive in case of such a closure. This entire survey and the questions in it are important and I hope that you will take the time to fill it all out.
Please complete a separate survey for each of your children who are part of the in-person learning currently. Information provided will be the information used and format of learning for your child the entire time, in the event of a building/school closure. If you do not complete the survey, we will assume your child will be doing online learning and has internet connection/device at home to use during any closure.
Thank you again for completing the survey- Jen McCormack, Superintendent
Parent Last Name
Parent/Guardian First Name
Student's Last Name
Student's First Name
My child is currently doing in-person instruction
If this child is in elementary school, what is his/her teacher's name?
Mrs. Staley- Kindergarten
Ms. Moore- Kindergarten
Mrs. Brownlee- 1st
Mrs. Davis- 1st/2nd
Mrs. Hintz- 2nd
Mrs. Creighton- 3rd
Mrs. Mutton- 3rd/4th
Mrs. Lynch- 4th
Mrs. LeFevre- 5th
Mrs. Klopf- 5th
Mr. Hadd- 6th
Best Phone Number
Parent Email Address
Do you have a device (Chromebook, laptop, iPad, tablet or desktop) that your child can use should there be a closure of some sort? (A phone will not be sufficent)
What kind of Internet connection do you have?
Cable/DSL high Speed (can stream movies)
Satellite or other slower over air connetion
Is your bandwidth/data limited?
We don't have bandwidth/data
If you do not have internet connection at home, do you have access to it somewhere or would you utilize paper copies with your child in the event of a school closure?
We do have a sufficient internet connection
We do not have a sufficient internet connection, but have internet access elsewhere
My child would need paper/pencil copies of any work during a school closure; I recognize I may need to pick these up or be available if they are delivered
Please let us know how you are doing, we are here to help. You can choose more than one.
Our family is doing just fine, all are healthy
We are struggling a bit with being stir-crazy, but we are holding it together
We are sick, but we are doing okay at this time
We are sick and need help. Please check in on us via email or phone (let us know how to contact you in the "other" section.
We need food and/or supplies. Please check in on us via email or phone (let us know how to contact you in the "other" section)
I am concerned that I am living in a dangerous situation and need assistance (let us know how to contact you in the "other" section
We are struggling and need support with mental health services. Please check in on us via email or phone (let us know how to contact you in the "other" section)
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This form was created inside of Coleman Community Schools.