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RGMS Needs Assessment
Due to our building having burst pipes, we recognize that you may have needs. Your information will be handled with care and will allow us to make decisions that can further help all our families.
* Indicates required question
Email
*
Record my email address with my response
Guardian's Name
*
Your answer
Students' Name
*
Your answer
Student ID #
*
Your answer
Advisory Teacher's Name
*
Your answer
Guardian phone number
*
Your answer
I need a chromebook
*
Yes
No
We have a chromebook, but need a charger
*
Yes
No
I don't have wifi
*
Yes
No
I need lunches provided
*
Yes
No
Required
Other concerns
Your answer
A copy of your responses will be emailed to .
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