2023-24 Digital Equity Form
PLEASE SUBMIT A SEPARATE FORM FOR EACH STUDENT

The Nebraska Department of Education (NDE) requires the digital equity (home/primary residence internet access) information be reported for all students.

Please use the name of the student as it is indicated on their official enrollment (not nickname).

Sign in to Google to save your progress. Learn more
Student First Name *
Student's first name as listed in enrollment.
Student Last Name *
Student's last name as listed in enrollment.
Student Grade *
Internet Access in Residence - Can the student access the internet in their primary place of residence? *
Internet Access Type In Residence - What is the primary type of internet service used in the students primary place of residence? *
Internet Performance in Residence - Can the student complete learning activities such as streaming video and uploading assignments without interruptions caused by poor internet performance? *
Primary Learning Device Away From School - What device does the student most often use to complete learning activities away from school? *
Primary Learning Device Access - Is the primary learning device shared with anyone else? *
Primary Learning Device Provider - Who provided the primary learning device to the student? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Holdrege Public Schools. Report Abuse
Google Forms