School Closure Family Outreach
Please complete the questions below in order to help us best meet your needs.  If you have more than one student, please complete for your youngest child.  Thank you!  We are looking forward to learning more about what your family needs at this time and how we can help.  
Sign in to Google to save your progress. Learn more
Student Name : (please complete for your youngest child) *
Grade *
Classroom Teacher *
The other children in our family are: *
Do you have enough food/toiletries for a few weeks? If no, what do you need? *
Are you a healthcare provider or emergency worker? *
What kind of device does your child have access to for e-learning? *
Do you have internet access? Do you need help getting it? *
Do you need a different plan for getting learning materials because you are not able to come to school Tuesday or Wednesday to pick up?  We will call to set something up with you.   *
Is there anything else you need or want us to know? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Hopkins Public Schools. Report Abuse