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Evans Middle School Internet Access Survey
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* Indicates required question
Email Address:
*
Your answer
Student's First Name
*
Your answer
Student's Last Name:
*
Your answer
Parent's First Name:
*
Your answer
Parent's Last Name:
*
Your answer
Student's Grade Level for 20-21 school year:
*
6th
7th
8th
Street Address (house number and street/road)
*
Your answer
City:
*
Your answer
Zip Code:
*
Your answer
Do you have internet access at home?
*
Yes
No
Please include any additional information we may need to know to assist you (if needed):
*
Your answer
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