Clarke Community School District Technology Needs Survey
We understand that access to technology may be a challenge or concern for you or your student.  Please complete the following CCSD Technology Needs Survey to better understand your needs.

Please note: Only ONE survey needs to be completed per household (not per student).  If you have completed a paper survey, please do NOT complete an online survey.
Sign in to Google to save your progress. Learn more
Email address *
Household Information
Complete ONE survey per household
Parent/Guardian First Name *
Parent/Guardian Last Name *
What school(s) do your student(s) attend?  (check all that apply) *
Required
What grade(s) are your student(s) in this year?     (check all that apply) *
Required
Does your student(s) have access to the internet at home? *
Do your student(s) have access to a computer or similar electronic device at home for online learning opportunities? *
Do your student(s) have access to a smartphone at home to watch a teacher provided video or participate in an online class meeting? *
Do you have the capability to pick up/drop off optional resource packets, prepared by your student's teacher(s), at your student's school building each week? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Clarke Community School District. Report Abuse
Google Forms