Calera ISD Technology  Survey
In order to better serve our students through our Distance Learning program, please fill out the following survey as accurately as possible.  SUBMIT ONE PER HOUSEHOLD.
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Email *
Student(s) Name:If you have more than one child attending Calera School, please list them as shown: Name, Grade, Homeroom(1st-6th grades) and separate them by a semicolon(;) *
Student(s) Email Address  or NA, if not available. If more than one, separate using a semicolon: *
Student(s) Cell Phone? If more than one, separate using a semicolon. NA, if not available *
Parent/Guardian Name *
Parent/ Guardian Cell Number *
Parent/Guardian Email Address? *
Parent/Guardian how would you prefer to be contacted? *
Parent/Guardian do you give permission for teachers to interact with your child by electronic format(email, google classroom, facebook, cell phone, etc..) *
What type of device(s) are available for student use? Check all that apply *
Required
Does the student have internet access? *
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