Please put full name. Example: William (not Billy)
Your answer
Student's Last Name *
If applicable, please include Jr, III, etc
Your answer
Grade Level *
Homeroom Teacher
Your answer
What is the device your child uses most often to complete learning activities away from school? (This can be a school-provided device or another device, whichever the student is most often using to complete their schoolwork.) *
Did the school district issue your child a dedicated school or district owned device for their use during the school year? *
Who is the provider of the primary learning device? (This can be a school-provided device or another device, whichever the student is most often using to complete their schoolwork.) *
Is the primary learning device shared with anyone else in the household? *
"Is the primary learning device sufficient for your child to fully participate in all learning activities away from school?" *
Is your child able to access the internet in their primary place of residence? *
What, if any, is the primary barrier to having sufficient and reliable internet access in your child’s primary place of residence? *
What is the primary type of internet service used in your child’s primary place of residence? *
In their primary residence, can your child complete the full range of learning activities, including video streaming and assignment upload, without interruptions caused by slow or poor internet performance? *
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