East Side Technology Issues
This survey is designed to receive feedback from East Side students and address all technology issues and concerns.
Email *
Student Name (First, Last) *
Student ID Number *
Student Current Grade *
Parent Phone number *
Student Home Address (include apt # and zip code) *
Do you have internet access for school work at home? *
Device you are currently using *
Explain the technology issue you are experiencing; (please be specific).
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Newark Public Schools. Report Abuse