JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Stanfield SD Technology and Meals Survey
For use in determining best way to offer supplemental materials and also for meal delivery for Stanfield students
Sign in to Google
to save your progress.
Learn more
* Indicates required question
How many students live in your household?
*
Your answer
Please list out names and grades of students in the household.
*
Your answer
Do you have consistent access to the internet?
*
Yes
No
I use the data on my phone
Do you have a device to use at home?
*
No
Yes
Do you have transportation?
*
Yes
No
Do you (the parent/guardian) have an email address we can use to contact you to provide supplemental learning materials to your child? (If yes, please enter it).
*
Your answer
Do you have consistent access to a telephone?
*
Yes
No
Would the students in the household like to receive breakfast and lunch during the school closure?
*
Yes
No
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Stanfield School District.
Report Abuse
Forms
