MRHS Device and Connectivity Survey

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Please complete this form to help us best understand your device and connectivity status for online learning. Please complete one form per student. This form may be completed by a parent or by the student.

Please complete by Thursday, April 2nd at noon.

Student LAST name *

Student FIRST legal name (do not use nicknames) *

Student's GRADE LEVEL *

Does the student have a school issued Chromebook? (choose all that apply) *

Yes, it is here at home.

No, but I am using a personal device currently.

I have a chromebook, but it is currently still at school.

I do not have any type of device to access school emails or teacher Canvas pages (Chromebook, Personal Device, etc)

Other:

Required

If you have your Chromebook, do you also have a charger? *

Yes

I am using a device other than my Chromebook

Does the student have internet access at home? *

Yes, we have internet access.

No, we do not have internet access.

No, we do not have internet access currently, but we are planning on getting very soon.

Other:

What specific issues are you having with your device or internet access? *

I am not having any issues. Everything is working.

Other:

If you have already tried the student help desk (https://studenthelpdesk.ucps.k12.nc.us/) and/or the help desk phone number (704-292-7955), and need someone to contact you regarding technical problems, please leave your best contact info in the "OTHER" slot below: *

I do not need to be contacted

Other:

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