JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Technology/Transportation Survey
* Indicates required question
Email
*
Your email
Do you have access to reliable internet at home?
Yes
No
Sometimes
Clear selection
Do you have a reliable computer/laptop at home?
Yes
No
Clear selection
Are you willing to provide transportation for your child to school?
I have reliable transportation/work schedule to drop off.
I have reliable transportation/work schedule to pick up.
I sometimes have reliable transportation/work schedule to pick up and drop off.
I do not have reliable transportation/work schedule, my child will have to ride the bus.
Submit
Clear form
This form was created inside of Shiloh CUSD#1.
Report Abuse
Forms
