A | B | C | D | E | F | G | H | I | J | K | L | ||
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3 | Student Name (Roster Link) | Check-In for Student Completed | Home Language | Contact #1 | Contact #2 | Technology Check-In | COVID-19 Check-In | Support | Notes | ||||
4 | Does your child have a working computer at home to use for personal use? | Does your family have working WiFi or a working hotspot? | Would you like your child to be tested weekly by health professionals on site? (We would hopefully start tomorrow) | *Is the family signed up on the Primary App? *Vaccination question included here Provide support and mark when complete: (Primary Link) | Confirmed | Is there anything else you need? (meals, gift cards, mental support, daycare, etc.) The next foodbank is ______. The next vaccination clinic is _______. | |||||||
5 | Name (xxx) xxx-xxxx | Name (xxx) xxx-xxxx | |||||||||||
6 | Name (xxx) xxx-xxxx | Name (xxx) xxx-xxxx | |||||||||||
7 | Name (xxx) xxx-xxxx | Name (xxx) xxx-xxxx | |||||||||||
8 | Name (xxx) xxx-xxxx | Name (xxx) xxx-xxxx | |||||||||||
9 | Name (xxx) xxx-xxxx | Name (xxx) xxx-xxxx | |||||||||||
10 | Name (xxx) xxx-xxxx | Name (xxx) xxx-xxxx | |||||||||||
11 | Name (xxx) xxx-xxxx | Name (xxx) xxx-xxxx | |||||||||||
12 | Name (xxx) xxx-xxxx | Name (xxx) xxx-xxxx | |||||||||||
13 | Name (xxx) xxx-xxxx | Name (xxx) xxx-xxxx | |||||||||||
14 | Name (xxx) xxx-xxxx | Name (xxx) xxx-xxxx | |||||||||||
15 | Name (xxx) xxx-xxxx | Name (xxx) xxx-xxxx | |||||||||||
16 | Name (xxx) xxx-xxxx | Name (xxx) xxx-xxxx | |||||||||||
17 | Name (xxx) xxx-xxxx | Name (xxx) xxx-xxxx | |||||||||||
18 | Name (xxx) xxx-xxxx | Name (xxx) xxx-xxxx | |||||||||||
19 | Name (xxx) xxx-xxxx | Name (xxx) xxx-xxxx | |||||||||||
20 | Name (xxx) xxx-xxxx | Name (xxx) xxx-xxxx | |||||||||||
21 | Name (xxx) xxx-xxxx | Name (xxx) xxx-xxxx | |||||||||||
22 | Name (xxx) xxx-xxxx | Name (xxx) xxx-xxxx | |||||||||||
23 | Name (xxx) xxx-xxxx | Name (xxx) xxx-xxxx | |||||||||||
24 | Name (xxx) xxx-xxxx | Name (xxx) xxx-xxxx | |||||||||||
25 | Name (xxx) xxx-xxxx | Name (xxx) xxx-xxxx | |||||||||||
26 | Name (xxx) xxx-xxxx | Name (xxx) xxx-xxxx | |||||||||||
27 | Name (xxx) xxx-xxxx | Name (xxx) xxx-xxxx | |||||||||||
28 | Name (xxx) xxx-xxxx | Name (xxx) xxx-xxxx | |||||||||||
29 | Name (xxx) xxx-xxxx | Name (xxx) xxx-xxxx | |||||||||||
30 | Name (xxx) xxx-xxxx | Name (xxx) xxx-xxxx | |||||||||||
31 | Name (xxx) xxx-xxxx | Name (xxx) xxx-xxxx |