Parent/Guardian Technology Survey

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Parent/Guardian Technology Survey - 7/21

This survey will take the average person 5-10 minutes to complete based upon the answers provided. We thank you in advance for sharing your information. The information that you share could assist the district in applying for federal funding to provide a computer device and/or more sufficient internet access to your child or children to learn from home during the 21-22 school year.

Your Full Name (parent/guardian) *

First & Last

Phone Number with area (Cell Phone preferred) *

Please enter exactly like this: (555)555-5555

Please indicate what type of phone number you just provided *

Please provide your email address. *

If you don't have an email address, please indicate: "NONE"

Mailing Home Address- House Number & Street Name *

Please enter your mailing address where the post office delivers mail

Home Address- City/Town *

Home Address- Zip Code *

Do NOT provide the 4 digit extension. We only need the 5 digit zip code

1. How many children do you have in your household that are attending Columbia Borough School District or Columbia Virtual Academy? *

1a. Please list the full names of your students: *

Enter each child's full first and last name separated by a semi-colon (i.e. James Monroe; Mike Monroe; Jason Monroe)

2. Does every (ALL) school-age child or children in your home have access to their own personally-owned computer (desktop, tablet, or laptop) so they can participate in remote learning and/or completing homework all at the same time? (Do not consider any school-provided computers.) *

Please DO NOT CONSIDER any school-provided computer. We are asking if you have a personally-owned computer for EACH child or EACH of your children.

Yes

2a. If you answered "NO" to the above that NOT all but some of your children do or all of your children do NOT have a their own personally-owned device, how many devices do you need?

If you answered, "YES" all of your children do have personally owned laptops or desktop computer, skip to the next question.

2b. Please indicate the full name (first and last name) of each child that needs their own device as indicated in 2a.

Enter each child's full first and last name separated by a semi-colon (i.e. James Monroe; Mike Monroe; Jason Monroe)

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