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Remote Learning Device and Internet Status Survey
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* Indicates required question
Parent Information
Parent's First and Last Name
*
Your answer
Parent's best email address (Optional)
Your answer
Parent's best phone number (Optional)
Your answer
Student's First and Last Name
*
Your answer
OSIS Number (Optional)
Your answer
Date of Birth
*
Your answer
Grade
*
Choose
3K
Pre-K
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
Seventh Grade
Eighth Grade
Class (Optional)
Your answer
Was your child already issued a DOE device?
*
Yes
No
Does your child have a functioning device at home for remote learning?
*
Yes
No
Does your child have internet (Wi-Fi/hotspot) access at home?
*
Yes
No
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