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Genesis Innovation Academy Technology Survey for SY 2020-2021
Please fill out the following survey to help Genesis determine the technology needs of our scholars and families for the upcoming school year.
THANK YOU!!!
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* Indicates required question
Email
*
Your email
Please check one of the following.
*
New Genesis Family
Returning Genesis Family
What is your first and last name?
*
Your answer
What is your primary phone number?
*
Your answer
What is the LAST name of your scholar? (Enter the oldest sibling if you have multiple scholars.)
*
Your answer
What is the FIRST name of your scholar? (Enter the oldest sibling if you have multiple scholars.)
*
Your answer
DEVICE INFORMATION
How many scholars in your household will attend Genesis Innovation Academy in 2020-2021 in the listed grades? (Indicate the total for both Girls and Boys Academies combined.)
*
0
1
2
3
Kindergarten
1st Grade
2nd - 4th Grade
5th - 8th Grade
9th Grade
0
1
2
3
Kindergarten
1st Grade
2nd - 4th Grade
5th - 8th Grade
9th Grade
How many OTHER school-aged children (K-12) are in your household (DO NOT COUNT Genesis Scholars)?
*
0
1
2
3
4+
How many WORKING devices do you have in your home that can be assigned to your scholar(s) for academic work?
*
0
1
2
3
4
5+
Desktop Computer WITH Microphone and Webcam accessibility
Desktop Computer WITHOUT Microphone and Webcam accessibility
Chromebook
Laptops: PC or Mac
Tablets or iPads with Front-Facing camera
0
1
2
3
4
5+
Desktop Computer WITH Microphone and Webcam accessibility
Desktop Computer WITHOUT Microphone and Webcam accessibility
Chromebook
Laptops: PC or Mac
Tablets or iPads with Front-Facing camera
DEVICE CONNECTIVITY
How do your scholars connect to the internet? (Check ALL that apply)
*
An Internet Provider (like Comcast or AT&T)
A "hotspot" through a cellphone
A portable "hotspot" device
No connection to the internet at home
Required
How reliable is your internet or hotspot connection?
*
It works well all of the time/most of the time.
Sometimes it works well, sometimes it does not.
Most of the time it is slow or it goes "in and out."
No connection to the internet at home.
Please indicate your family's need for a device this summer that is sufficient for virtual learning.
*
Yes, we need a device for summer virtual learning.
No, we do not need a device for summer virtual learning.
No, we do not need a device for summer virtual learning, but may need one in the fall.
Please add any comments or questions that would help Genesis better plan for Virtual Instruction.
Your answer
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