JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Internet Access Survey for Union Schools
Please complete the survey below regarding Internet Access at your home.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Parent/Guardian First Name
*
Your answer
Parent/Guardian Last Name
*
Your answer
Physical Address of Parent/Guardian
*
Your answer
Town/City
*
Your answer
Parent/Guardian E-Mail
Your answer
Phone Number to Reach Parent/Guardian
*
Your answer
Number of Children in Wise County Schools
*
1
2
3
4 or more
Required
Current Internet Status
*
We do not have access to any Internet at our home (hotspot, Xfinity, etc)
We rely on a mobile hotspot for connectivity
Internet access is available at our home but we cannot afford it
We have Internet in our home
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Wise County Public Schools.
Report Abuse
Forms
