2020-2021 Virtual Learning Device Survey
Please answer each question on this form. This form should only be completed once by each Flowers Elementary household by August 4th, 2020. If you have students at other MPS schools, they may require you to fill out a separate form for those students. Families must complete the Virtual Learning Device Survey before receiving a device. Questions that are required have a red star beside them. Thank you for completing this survey.
Parent/Guardian First and Last Name. *
Telephone Number *
Alternate Telephone Number *
Email Address *
How would you like to receive school communication updates from ClassDojo? *
In order to send information and resources to families regarding our devices (including device pickup) all information will be sent through ClassDojo. Please download the app to your smartphone to receive instant notifications or check your email for updates.
How many students do you have enrolled in Montgomery Public Schools? *
How many of those children are enrolled at Flowers Elementary for the 2020-2021 school year? *
Flowers Student 1 First and Last Name *
Flowers Student 1 Grade Level *
Flowers Student 2 First and Last Name
Flowers Student 2 Grade Level
Clear selection
Flowers Student 3 First and Last Name
Flowers Student 3 Grade Level
Clear selection
Flowers Student 4 First and Last Name
Flowers Student 4 Grade Level
Clear selection
Flowers Student 5 First and Last Name
Flowers Student 5 Grade Level
Clear selection
Do you have internet access in your household? *
How many devices do you have in your home? *
Do you have a device for your child to use for virtual learning? Example: laptop, desktop, smartphone, tablet, ChromeBook- Please select all that apply. *
Required
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