Lakeland Regional High School Device Survey

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Due to the fact that the district is going in the direction of a hybrid model and will require some form of distance/virtual learning, we want to ensure that ALL students who NEED devices and internet, get devices and internet. Please take this brief survey.

For any student who states that they need a device, Dr. Dave Niedosik will contact you regarding pick-up or distribution. Please complete ONE form per family.

Email *

Will your family require an LRHS issued device? (please respond NO if you are already in possession of an LRHS issued device from last school year)

Yes, we need a device.

No, we have our own to use.

Clear selection

Clear form

Never submit passwords through Google Forms.

This form was created inside of Lakeland Regional High School. Report Abuse

Forms