ABCDEFGHIJKL
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Student Name
(Roster Link)
Check-In for Student CompletedHome LanguageContact #1Contact #2Technology Check-InCOVID-19 Check-InSupportNotes
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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)
ConfirmedIs there anything else you need? (meals, gift cards, mental support, daycare, etc.)

The next foodbank is ______.
The next vaccination clinic is _______.
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