Distance Learning Home Tech Survey
In preparation for a possible school closing due to COVID-19, complete the following survey in regards to distance learning.  *Please fill out a form for each child.*  This is strictly for preparation purposes only.

Please note that Bennett Day Distance Learning will use the Google Classroom platform.  Your classroom teachers will work with you/your family, in becoming familiar with Google Classroom and related Google products should the need rise.




Sign in to Google to save your progress. Learn more
Email *
Your Name *
Do you have internet access at your home? *
Child 1 Name (Last, First) *
Child 1 Grade *
Child 1: Which of the following devices will Child 1 have access to for at least 3 hours a day. (Please check all that apply) *
Required
Child 2 Name (Last, First)
Child 2 Grade
Child 2: Which of the following devices will Child 2 have access to for at least 3 hours a day. (Please check all that apply)
Child 3 Name (Last, First)
Child 3 Grade
Child 3: Which of the following devices will Child 3 have access to for at least 3 hours a day. (Please check all that apply)
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Bennett Day School. Report Abuse