Student Internet Access Survey
The Ephrata School District is working to be prepared if remote learning becomes a necessity at one or more of our schools due to the spread of COVID-19. The District is NOT transitioning to remote learning at this time. This survey for planning purposes only. ONLY COMPLETE THIS SURVEY IF YOU DO NOT HAVE INTERNET ACCESS.

Click "Next" to begin.
Sign in to Google to save your progress. Learn more
Email *
How many students live in your residence? *
What is/are the full name(s) of your child(ren)? *
What is your name? *
Please provide your phone and email address. *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Ephrata School District. Report Abuse