Home Internet Access / Acceso a internet en casa
Please answer the below questions to better help us prepare for the 2020-21 school year, and allowing us to make sure all families have access to online educational tools. Please complete one survey per family.

Responda las siguientes preguntas sobre Internet en su casa. Esto nos ayudará a asegurarnos de que todos tengan Internet al comenzar el año escolar. Complete una encuesta por familia.



Sign in to Google to save your progress. Learn more
Email *
Scholar First Name/Nombre del estudiante: *
Scholar Last Name/Appellido del estudiate: *
What grade(s) is your scholar in? / ¿En qué grado está tu estudiante? *
Required
Do you have internet access in your home?/ ¿Tiene acceso a internet en su casa? *
What type of device are you using for access? / ¿Qué dispositivo usas para acceder a Internet? *
Required
Who is your internet provider? / ¿Quién es tu proveedor de Internet? *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of The Queen City Academy Charter School. Report Abuse
Google Forms