Camino USD Distance Learning Technology Survey
Please take a moment to complete the survey below.  We will be using this information for planning and possible grant opportunities for our district.  
Sign in to Google to save your progress. Learn more
Your Student’s Name (first and last) - please list all of your children attending Camino USD, including Camino Poly *
Parent/Guardian's Name (first and last) *
Phone number *
Email Address *
Your Student’s Grade Level – please select for all of your children *
Required
Do you have access to an Internet connection at home? *
Are you able to afford internet service? *
Do you have access to an Internet connection but your student is not able to complete basic distance learning tasks due to slow speed or an unreliable connection? *
Have you been provided with a Chromebook by Camino USD? *
Does your student have a device available at home that can be used for distance learning? Ex) Chromebooks, tablets, laptops, etc. *
Do you have at least one device but need more due to other children in your family needing a device for his/her own use? *
How many students do you have in your home that require a device? *
Do you have any additional comments?
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Camino School. Report Abuse