HSA Lubbock Technology Survey Form 2020-2021
Dear Parents and Guardians,
In response to recent school closures, we are gathering information about the ability of our students to continue learning at home using online materials and/or a virtual classroom. Please complete the following survey to help us understand the availability of internet and devices in your home.  This will allow us to determine which students need Chromebook and hotspot device so we can provide our students to support continued learning at home.
* Please fill out this form for each Harmony student you have.
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Student's FIRST name? *
Student's LAST name? *
Student's Grade Level * *
Do you have internet access at Home? *
Do you have a technology device available for at-home learning your student can use? * *
Parent/Guardian FIRST name? *
Parent/Guardian LAST name? *
Please provide a good email address that your campus could contact you for the next step. *
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